Synthetic Versus Autologous Sling For Stress Incontinence (SASSI): A Randomized Controlled Trial
This is a multi-centre randomized controlled trial comparing mid-urethral synthetic mesh sling or tension-free vaginal tape (TVT) and autologous fascia sling (AFS) in elderly patients with stress predominant urinary incontinence. The investigators aim to investigate new onset pelvic pain 6 months post-op and objective urinary incontinence cure rate 5 years post-op. Secondary objectives include investigation of opioid use, mental health, sexual health, and other post-op outcomes.
• Adult females at birth (female anatomy, any gender)
• Greater than or equal to 60 years old
• Have stress predominant urinary incontinence (spUI) eligible for both types of surgery (tension-free vaginal tape and autologous fascia sling)
• Exhausted conservative management options for UI (Kegel's exercises, physiotherapy, pessary)
• Completed childbearing
• Able to follow up with clinic visits for up to five years after surgery