Study Comparing Tension-free Vaginal Tape With the Monarc Procedure for Stress Urinary Incontinence

Inclusion Criteria: * Urinary incontinence symptoms * Urodynamic stress incontinence confirmed with multichannel urodynamic testing * Age of at least 21 years * Desires surgical correction of stress urinary incontinence Exclusion Criteria: * Post-void residual volume \>100cc * Detrusor overactivity on preoperative multichannel urodynamic testing * History of previous synthetic, biologic or fascial sub-urethral sling * Desires future childbearing * Chronic inguinal or vulvar abscess or history of Hidradenitis Suppurativa * History of bleeding diathesis or current anti-coagulation therapy * Inguinal lymphadenopathy or inguinal/vulvar mass * Current genitourinary fistula or urethral diverticulum * Reversible cause of incontinence (i.e. drug effect) * Contraindication to surgery