Trial Comparing TVT SECUR System and Trans Vaginal Obturator Tape for Surgical Management of Stress Urinary Incontinence

Inclusion Criteria: * Female patients with symptoms of stress urinary incontinence and a positive cough test who require surgical management. Cough test is positive when leakage of urine is seen from the urethra synchronously with the patient performing a cough or valsalva manuver with a comfortably full bladder in the lying or standing position. Exclusion Criteria: * Women with predominantly symptoms of urge urinary incontinence * Presence of prolapse greater than Pelvic organ prolapse quantification (POPQ) Stage 1 or prolapse requiring surgery * Detrusor overactivity on cystometrogram at urodynamic testing * Previous surgery for incontinence * Intrinsic sphincter deficiency (MUCP\<20 cm H2O or Q -tip \<30o) * Voiding dysfunction with postvoid residual \>100 cc