Laparoscopic Burch Colposuspension Versus Transobturator Tape in the Treatment of Female Stress Urinary Incontinence.

Inclusion Criteria: * Clinical Diagnosis of SUI: Symptoms include leakage during activities such as coughing, sneezing, laughing, or physical exertion. * Documented stress urinary incontinence by physical examination and urodynamic testing. * Adult female patients typically aged 18 years or older. * Completed Non-Surgical Management: Patients who have tried and failed conservative management options, such as pelvic floor exercises, behavioral therapy. • Willingness to Undergo Surgery Exclusion Criteria: * virgin female * mixed urinary Incontinence * Pelvic Organ Prolapse more than the 2nd degree according to Baden and Walker classification 1992 * Previous Anti-Incontinence Surgery * Neurological Conditions: Patients with neurogenic bladder or other neurologic disorders affecting bladder function, such as multiple sclerosis or spinal cord injury. * Pregnancy * Presence of active urinary tract infection (UTI) or other pelvic infections at the time of evaluation * Patients with interstitial cystitis, bladder tumors, or urethral diverticula that could complicate surgical outcomes * Previous history of radiotherapy to the pelvis. * Contraindications to surgery such as uncorrectable coagulation disorders