Collagen injection for intrinsic sphincteric deficiency in men: a reasonable option in selected patients

The Journal of Urology
R Elsergany, G M Ghoniem

Abstract

We evaluate transurethral collagen injection as a minimally invasive option in treating stress urinary incontinence in men and identify the prognostic factors for success or failure. Transurethral collagen was injected in 35 men with grades III (22) and II (13) incontinence. Of the patients 7 became dry (20%), 11 improved (31.4%) and 17 were considered failures (48.6%). Abdominal leak point pressure increased and the number of pads needed decreased. In the failed group 4 patients had a history of pelvic irradiation, 5 urethral stricture disease and 3 bladder instability before injection. There was 1 case of temporary urinary retention as a complication. Transurethral collagen injection for male stress urinary incontinence is a reasonable option in select patients.

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Citations

Jun 27, 2002·Current Urology Reports·M B Tchetgen, R A Appell
Sep 9, 2006·Current Urology Reports·Jonathan S StarkmanRoger R Dmochowski
Oct 8, 1999·Urology·R D CespedesE J McGuire
May 18, 2000·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·J P Robinson
Mar 23, 1999·The Urologic Clinics of North America·W W Leng, E J McGuire
Dec 22, 2009·Neurourology and Urodynamics·Sender HerschornUNKNOWN Committee of the International Consultation on Incontinence
Dec 13, 2002·The Urologic Clinics of North America·Richard T KershenRodney A Appell
Mar 22, 2014·Korean journal of urology·Sin Woo LeeKyu-Sung Lee
Nov 24, 1999·The Journal of Urology·J Q ClemensA J Schaeffer

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