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

Article Article scientifique Article Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results eng 2017 author Renard Julien 806954 author Citeri Marco author Zanollo Lucia author Guerrer Chiara author Rizzato Luigi author Frediani Luca author Iselin Christophe 29699 author Spinelli Michèle Giacomo E. 94952 75-79 10.5213/inj.1732644.322 28361514 2093-4777 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. Bulking Injectable Urinary Bladder, Neurogenic Urinary Incontinence, Stress Dewey 617 57 Département de chirurgie 222 false 81 Groupe Iselin Christophe (urologie) 106 International neurourology journal 21 1 b4627c1e-1df3-49b2-8f42-48253c308253 Article (Published version) Public inj-1732644-322.pdf 2243327 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results	International neurourology journal			2017	527	196

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Spinelli, Michèle Giacomo E.