Objectives: To evaluate the clinical outcome of using tension-free vaginal tape (TVT) for treating types I and II genuine stress urinary incontinence. Patients and Methods: The study comprised a total of 32 women with genuine stress urinary incontinence types I and II treated with TVT between 1999 and 2002. The mean follow-up period was 19.4 months. Results: The success rate was 87.5 % (28/32 patients). The cure rate was durable in the majority of successful cases 26/28 (92.9%) during the one year follow-up period except for 2/28 (7.1%) women in whom stress urinary incontinence recurred in a milder form. Postoperative retention of urine occurred in 2/32 (6.3%) patients, which was transient and responded well to urethral dilatation under local anaesthesia. Details of the clinical outcome variables and complications are represented. Conclusion: The TVT procedure is an effective and minimally invasive alternative to surgical options for managing types I and II stress urinary incontinence. The complication rates are low and hospital stay is short and the procedure is feasible under local anaesthesia