PMID: 8976231Jan 1, 1997Paper

Comparative cost analysis of collagen injection and fascia lata sling cystourethropexy for the treatment of type III incontinence in women [ssee comments

The Journal of Urology
C J Berman, K J Kreder

Abstract

We examined the cost of 2 common forms of surgical treatment of genuine stress urinary incontinence due to intrinsic sphincter deficiency, that is sling cystourethropexy and periurethral collagen injection. Between May 1994 and July 1995, 14 women with intrinsic sphincter deficiency underwent sling cystourethropexies. A total of 14 matched patients with intrinsic sphincter deficiency underwent endoscopic collagen injection during the same period. The total cost per treatment of fascia lata sling cystourethropexy ($10,382) was 2.1 times greater than that for collagen injection ($4,996, p < 0.001). At an average followup of 14.9 months for fascia lata cystourethropexy and 21.3 months for collagen injection, 71.4% of patients in the former and 26.7% in the latter groups were completely continent (p = 0.05). One or no pads were used daily by 85 and 40% of the patients, respectively. Fascia lata sling cystourethropexy may be a more cost-effective surgical treatment than periurethral endoscopic collagen injection for treating genuine stress urinary incontinence in women with intrinsic sphincter deficiency when the greater success rate of the former procedure is considered.

References

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Citations

Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·S Herschorn, S B Radomski
Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·R Sarver, F E Govier
Oct 18, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Sumana KoduriPeter K Sand
Oct 2, 2002·Current Urology Reports·Deborah J LightnerFelecia Fick
Aug 19, 2011·Current Urology Reports·Erin C ChongJennifer T Anger
Oct 11, 2003·Urology·James Balmforth, Linda D Cardozo
Jul 25, 2006·Expert Opinion on Pharmacotherapy·Petros Perimenis, Konstantinos Giannitsas
Dec 18, 2001·American Journal of Obstetrics and Gynecology·A J WalterJ L Cornella
Nov 19, 2005·Expert Review of Medical Devices·H ter Meulen, Eva van Kerrebroeck
Jul 25, 2017·The Cochrane Database of Systematic Reviews·Vivienne KirchinPatricia Aluko
Jul 26, 2017·The Cochrane Database of Systematic Reviews·Haroon RehmanPatricia Aluko
Apr 11, 2003·The Journal of Urology·Tracey S WilsonPhilippe E Zimmern
Jul 10, 2007·Muscle & Nerve·Yong Tae KimMichael B Chancellor
Nov 18, 2005·Expert Review of Medical Devices·Alexander Gomelsky, Roger R Dmochowski
Jan 29, 2020·The Cochrane Database of Systematic Reviews·Lucky SaraswatCathryn Ma Glazener
Oct 14, 2006·Current Opinion in Urology·E A Gormley

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