R Elsergany1, G M Ghoniem. 1. Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Abstract
PURPOSE: 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. MATERIALS AND METHODS: Transurethral collagen was injected in 35 men with grades III (22) and II (13) incontinence. RESULTS: 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. CONCLUSIONS: Transurethral collagen injection for male stress urinary incontinence is a reasonable option in select patients.
PURPOSE: 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. MATERIALS AND METHODS: Transurethral collagen was injected in 35 men with grades III (22) and II (13) incontinence. RESULTS: 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. CONCLUSIONS: Transurethral collagen injection for male stress urinary incontinence is a reasonable option in select patients.