Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results.
- Author:
Julien RENARD
1
;
Marco CITERI
;
Lucia ZANOLLO
;
Chiara GUERRER
;
Luigi RIZZATO
;
Luca FREDIANI
;
Christophe ISELIN
;
Michele SPINELLI
Author Information
- Publication Type:Case Report
- Keywords: Urinary Incontinence, Stress; Urinary Bladder, Neurogenic; Injectable; Bulking
- MeSH: Condoms; Elastomers*; Female; Humans; Male; Operative Time; Prostate; Prostheses and Implants*; Treatment Failure; Urinary Bladder; Urinary Bladder, Neurogenic; Urinary Incontinence*; Urinary Incontinence, Stress
- From:International Neurourology Journal 2017;21(1):75-79
- CountryRepublic of Korea
- Language:English
- Abstract: Many treatment options for stress urinary incontinence are difficult to apply to neurological patients. Urolastic is a new agent that is primarily indicated for women with mild stress urinary incontinence or men after prostate surgery. In this report, we present a series of 5 cases describing the first use of Urolastic to treat neurological patients. All patients were evaluated with a voiding diary and the use of auxiliary devices as the main indicators of continence. The median operative time was 30.8 minutes, and no complications were observed. Of the 5 patients, 4 reported improved incontinence: 2 switched from diapers to small pads, while the other 2 patients were able to discontinue urinary condom use. The only instance of treatment failure occurred in a patient with a low-compliance bladder. The advantages of this procedure appear to include a soft-cuff effect, reversibility, and minimal invasiveness. However, a future randomized study would be necessary to validate this treatment option.
