International Neurourology Journal  2017;21(1):75-79

doi:10.5213/inj.1732644.322

Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results.

Julien RENARD 1 ; Marco CITERI ; Lucia ZANOLLO ; Chiara GUERRER ; Luigi RIZZATO ; Luca FREDIANI ; Christophe ISELIN ; Michele SPINELLI

Affiliations

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Keywords

Urinary Incontinence, Stress; Urinary Bladder, Neurogenic; Injectable; Bulking

Country

Republic 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.