Objective To study the outcome of tension-free vaginal tape （TVT） for the treatment of stress urinary incontinence （SUI） in women with cystocele. Methods Forty-two patients with SUI confirmed by urodynamics underwent the TVT procedure under local anesthesia. A prolapse repair was done simultaneously. Results Mean TVT operation time was 26.29 minutes. Mean blood loss was 29.86 mL. Eighty-eight percent of the patients were able to micturate spontaneously within 12 hours and residual urine was less than 100 mL. And 12% of the patients had to use indwelling catheter for 3-11 days. Average hospital stay was 2.91 days. Eighty-eight percent of patients were discharged within 2 days. All patients were followed up （an average of 10.26 months）. According to subjective and objective assessment of the outcome

39 patients （93%） were cured

another 3 patients （7%） were significantly improved and none was failed. There were no major complications such as bladder injury occurred. Conclusion TVT procedure is a minimal invasive

effective

and safe surgery for treatment of SUI.