ABSTRACT Objective: The aim of this trial is to describe the use of surgeon tailored ordinary prolene mesh (STPM) and available resterlizable helical or S shaped passers to do transobturator tape (TOT) as a low cost alternative to available commercial kits (CK) in treatment of stress urinary inconti￾nence (SUI ) in female with evaluation of its safety and short term efficacy. Patient and methods: STPM tape (15 x 1.5 cm) was inserted as outside-in TOT in 35 women (data of 30 of them were available for analysis, as 5 were lost in follow up ) with pure SUI 23/30 (76.7%) and 7/30 (23.3) with mixed incontinence but predominant element was SUI, at Benha University Hospi￾tal, obstetrics and gynecology depart￾ment between May 2013 to May 2014, SUI was diagnosed by positive cough stress test (CST). Women with post void residual urine (PVRU) 100 ml, bladder capacity