Transurethral collagen injection for treatment of postprostatectomy urinary incontinence in men.
Urology
; 49(6): 907-12, 1997 Jun.
Article
en En
| MEDLINE
| ID: mdl-9187699
ABSTRACT
OBJECTIVES:
Transurethral injection of glutaraldehyde cross-linked bovine collagen has recently been advocated as a potentially useful treatment modality for management of urinary incontinence. The reported clinical experience with urethral collagen injection in adult males has been limited.METHODS:
This study summarizes the current literature and reviews the clinical results of collagen injection in a group of 25 men with incontinence after either transurethral or radical prostatectomy.RESULTS:
The overall results in this series were disappointing. Only 2 patients (8%) achieved significant improvement with this treatment. Eight patients (32%) experienced minimal improvement in symptoms, and 15 (60%) remained incontinent with no improvement in symptoms after collagen injection. The number of injection procedures and volume of collagen material implanted did not correlate with clinical outcome. Five patients (20%) have subsequently required placement of an artificial urinary sphincter to control their incontinence.CONCLUSIONS:
We conclude that transurethral injection of glutaraldehyde cross-linked bovine collagen has a limited role in the management of urinary incontinence in adult men after prostatectomy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Prostatectomía
/
Incontinencia Urinaria
/
Materiales Biocompatibles
/
Colágeno
Tipo de estudio:
Etiology_studies
Límite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Urology
Año:
1997
Tipo del documento:
Article
País de afiliación:
Estados Unidos