***TASK*** the task is to summarize an input biomedical literature in six sentences 
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    Input: Introduction and hypothesisThe aim of this study is to compare a modified inside-out transobturator procedure with its original counterpart [ inside-out transobturator ( TVT-O ) ] for the treatment of female stress urinary incontinence ( SUI ) . Methods A prospect i ve , r and omized trial in women suffering from SUI was used . The modified procedure consisted of a shorter tape whilst the scissors or guide no longer perforated the obturator membrane . The primary outcome was the resolution of subjective and objective SUI at 1 year . Secondary outcome measures included adverse events , quality of life measures , and groin pain . Results One hundred seventy-five patients were r and omized . No intraoperative complications were recorded . The SUI cure rate was 91.7 % versus 90.7 % ( original versus modified , respectively ; p = 0.824 ) . Incidence and intensity of groin pain was higher in the original TVT-O group on day 0 and 1 ( p < 0.05 ) , requiring more analgesics ( p = 0.015 ) but not thereafter . Conclusions At 1 year follow-up , the modified inside-out transobturator tape procedure was as efficient and safe as the original technique but associated with less immediate postoperative groin pain BACKGROUND No studies have been published comparing the U- and H-type methods of the TVT SECUR ( TVT-S ) procedure . OBJECTIVE Our aim was to compare the efficacy and safety of the two types of TVT-S for female stress urinary incontinence ( SUI ) . DESIGN , SETTING , AND PARTICIPANTS Women with urodynamic SUI were enrolled in this 12-mo multicenter r and omized study . INTERVENTION Subjects were r and omly allocated to either the U- or H-type method of TVT-S. MEASUREMENTS Pre- and postoperative evaluations included a st and ing stress test , the S and vik question naire , the Incontinence Quality of Life ( I-QOL ) question naire , and the International Consultation on Incontinence Question naire-Female Lower Urinary Tract Symptoms ( ICIQ-FLUTS ) . Patients ' satisfaction and complications were evaluated . Objective and subjective cures were defined as no leakage on the stress test and responses on the S and vik question naire , respectively . We compared the surgical outcomes between the two methods . RESULTS AND LIMITATIONS Of 285 women , 144 had the U-type method and 141 had the H-type method .  Objective cure rates were 87.5 % for the U-type method and 80.1 % for the H-type method ( p=0.091 ) . Subjective cure rates were 77.1 % for the U-type method and 75.7 % for the H-type method ( p=0.786 ) . Improvement in I-QOL and domain scores of the ICIQ-FLUTS ( filling and incontinence sum , QOL score ) , and patients ' satisfaction favored the U-type method . There were three cases of intraoperative vaginal wall perforation , one case of increased bleeding , and three cases of temporary postoperative retention . A power calculation was not performed , and some baseline characteristics were not balanced between the two methods . CONCLUSIONS Both methods of TVT-S provided comparable cure rates for female SUI . However , QOL and treatment satisfaction favored the U-type method . TRIAL REGISTRATION The protocol of this study was not registered OBJECTIVES To present the longitudinal outcomes in an observational cohort of patients who had undergone treatment of stress urinary incontinence with a single incision mid-urethral sling ( MUS ) .  METHODS A prospect i ve , observational study of all female patients who had undergone surgical intervention with the MiniArc MUS was performed . The surgical c and i date s underwent history and physical examination and urodynamic testing , as indicated . Quality of life question naires ( Urogenital Distress Inventory [ UDI-6 ] and Incontinence Impact Question naire [ IIQ-7 ] ) were administered preoperatively . The salient operative data were recorded . The patients were followed up postoperatively for evidence of treatment success and adverse events . The patients completed the UDI-6 , IIQ-7 , and Female Sexual Function Index question naires at 1 and 12 months after treatment . RESULTS From September 2007 to October 2008 , 120 patients underwent placement of the MiniArc MUS for the treatment of stress urinary incontinence . The mean patient age was 58.4 years . The mean body mass index was 27.2 kg/m(2 ) . The mean preoperative daily pad use was 2.4 . The mean preoperative IIQ-7 and UDI-6 score was 86.58 and 62.5 , respectively . Of the 120 patients , 108 ( 90 % ) completed a minimum follow-up period of 12 months . Of these 108 patients , 101 ( 94 % ) were cured/dry . The mean postoperative pad use was 0.2 ( P < .001 ) . The mean IIQ-7 and UDI-6 score was 13.32 ( P < .001 ) and 12.5 ( P < .001 ) , respectively . The Female Sexual Function Index results demonstrated no discomfort with intercourse in 49 % , occasional discomfort in 9 % , and frequent discomfort in 2 % . The remaining 40 % of our patients were not sexually active . CONCLUSIONS Our results have shown that the MiniArc MUS offers excellent outcomes that are durable at 1 year after treatment The aim of this study was to evaluate the long-term effectiveness and safety of the tension-free vaginal tape ( TVT ) procedure . In a Nordic three-center prospect i ve observational cohort study , 90 women with primary stress incontinence had a TVT operation performed  in local anesthesia . Assessment included a 24-h pad test , a stress test , physical examination , and a visual analog scale for assessing the degree of bother . Patient ’s global impression of cure was obtained , and condition specific quality of life question naires were used . Seventy-seven percent of the initial cohort of 90 women and 89 % of those alive and capable of cooperating were assessed 11.5 years after the TVT operation . Ninety percent of the women had both a negative stress test and a negative pad test being objective ly cured . Subjective cure by patients global impression was found in 77 % , 20 % being improved and only 3 % regarded the operation as a failure . No late-onset adverse effects of the operation were found , and no case of tape erosion was seen . The TVT procedure is safe and effective for more than 10 years The object was to study prospect ively the results of a modified intravaginal slingplasty for the surgical treatment of female stress incontinence , carried out under local anesthesia as a day procedure . Seventy five patients with genuine stress incontinence were operated upon and followed for a 2-year period . All patients were diagnosed urodynamically to have genuine stress incontinence .  Pad tests and quality of life assessment s were carried out in all patients both pre- and postoperatively . There were no intra- or postoperative complications and 63 patients ( 84 % ) were completely cured throughout the 2-year follow-up period . Six patients ( 8 % ) were significantly improved , i.e. they did not loose urine apart from an occasional leakage during severe cold etc . In the remaining 6 patients ( 8 % ) no improvement was seen . These failures were obvious at the first postoperative check-up after 2 months . Thus , there were no relapses after 2 months . All but 5 patients were able to void properly directly after surgery . These 5 needed an indwelling catheter during the night directly after the operation . All 75 patients were released from the hospital the same day or the day after surgery without catheterization . Mean sick leave was 10 days and mean operation time 22 minutes . No defect healing or rejection of the sling occurred . It is concluded that the procedure described is a promising new technique for the surgical treatment of female stress incontinence . Prospect i ve long-term studies including more patients are in progress to establish the definitive place of this technique in the clinical routine Please cite this paper as : Basu M , Duckett J. A r and omised trial of a retropubic tension‐free vaginal tape versus a mini‐sling for stress incontinence . BJOG 2010 ; DOI : 10.1111/j.1471‐0528.2010.02513.x Introduction and hypothesisTo evaluate the efficacy and safety of the minimally invasive Ajust ™ system in the treatment of stress urinary incontinence . Methods This was a prospect i ve multicentre study . All patients with primary urodynamic stress urinary incontinence were prospect ively selected to receive the Ajust ™ procedure . The International Consultation on Incontinence-Short Form ( ICI-SF ) , Women Irritative Prostate Symptoms Score ( W-IPSS ) , PGI-S , and PGI-I question naires were used to evaluate the impact of incontinence and voiding dysfunction on QoL and to measure patient 's perception of incontinence severity and improvement . Results From January 2009 to October 2009 , 111 consecutive subjects were enrolled in the study . At 6 months , 102 were available for outcomes analysis .  The subjective and objective cure rates were 85.7 % and 91.4 % , respectively . The ICI-SF and W-IPSS question naires showed a statistical significant improvement in symptom scores . Conclusions In the short-term follow-up , the Ajust ™ system was effective in restoring continence in more than 85 % of subjects with a highly significant improvement in PURPOSE Mid urethral sling procedures have become the surgical treatment of choice for female stress urinary incontinence . Innovative modifications of mid urethral sling procedures were recently introduced with the cl aim of offering similar efficacy and decreased morbidity . We compared the efficacy and morbidity of an innovative single incision mid urethral tape and an established transobturator procedure . MATERIAL S AND METHODS We performed a prospect i ve , r and omized , controlled trial in 6 teaching hospitals in Belgium and The Netherl and s between 2007 and 2009 . A total of 96 patients received a TVT Secur ™ single incision sling and 98 received a TVT ™ Obturator System .  We collected data on patient characteristics , surgery related parameters , adverse events , clinical followup , Urogenital Distress Inventory and SF-36 ® scores , vali date d question naires on daily life activities and visual analog scores objectifying pain . Followup was 1 year . RESULTS One-year followup was available for 75 single incision sling and 85 obturator system cases . Stress urinary incontinence could be objectified in 16.4 % of the patients with a single incision sling and in 2.4 % with an obturator system ( p < 0.05 ) . Stress urinary incontinence was subjectively reported by 24 % of single incision sling and 8 % of obturator system patients ( p < 0.05 ) . One year after surgery the mean ± SD UDI incontinence domain score in the single incision sling and obturator system groups was 21 ± 24 and 13 ± 21 , respectively ( p < 0.01 ) . Patients with a single incision sling experienced significantly less pain during the first 2 weeks after surgery ( p < 0.05 ) and returned significantly earlier to normal daily activity . The OR of re-intervention for stress urinary incontinence 1 year after receiving a single incision sling vs an obturator system was 2.3 ( 95 % CI 1.9 - 2.7 ) . CONCLUSIONS The single incision sling procedure is associated with less postoperative pain and a lower objective cure rate than the obturator system procedure BACKGROUND TVT-Secur has been described as a new minimally invasive sling for women 's stress urinary incontinence ( SUI ) management , showing promising results in short-term studies . OBJECTIVE Our goal was to evaluate the outcome of this procedure after a midterm follow-up . DESIGN , SETTING , AND PARTICIPANTS A prospect i ve evaluation involved 45 consecutive patients presenting SUI associated with urethral hypermobility . Fourteen patients preoperatively reported overactive bladder ( OAB ) symptoms , but none had objective detrusor overactivity . Eight patients had low maximal urethral closure pressure ( MUCP ) . Four patients had pelvic organ prolapse ( POP ) . INTERVENTION Patients with POP were treated under general anesthesia by Prolift and TVT-Secur procedure . The 41 other patients received TVT-Secur under local anesthesia on an outpatient basis . All interventions were made by the same surgeon . MEASUREMENTS Postoperative assessment included pad count , bladder diary , clinical examination with stress test , evaluation of satisfaction with the Patient Global Impression of Improvement ( PGI-I ) scale , and evaluation of side effects . Patients were classified as cured if they used no pads , had no leakage , and had a PGI-I score < or = 2 ; as improved in case of reduction of SUI symptoms > 50 % and PGI-I score < or = 3 ; and as failure otherwise . RESULTS AND LIMITATIONS Mean postoperative follow-up was 30.2 + /- 9.8 mo ( range : 11 - 40 mo ) . Short-term evaluation showed a 93.5 % success rate , but , at last follow-up , only 18 ( 40 % ) patients were cured , while 8 ( 18 % ) were improved , and 19 ( 42 % ) failed . Twelve patients underw 
    Output:
    
SIMS are associated with inferior patient-reported and objective cure rates on the short-term follow-up , as well as higher reoperation rates for SUI when compared with SMUS