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Title

Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results
Authors
Renard, Julien
Citeri, Marco
Zanollo, Lucia
Guerrer, Chiara
Rizzato, Luigi
Frediani, Luca
Iselin, Christophe
Spinelli, Michèle Giacomo E.
Published in International neurourology journal. 2017, vol. 21, no. 1, p. 75-79
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.
Keywords Bulking — Injectable — Urinary Bladder, Neurogenic — Urinary Incontinence, Stress
Identifiers
PMID: 28361514
Full text
Article (Published version) (2.1 MB) - public document Free access
Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Research group Groupe Iselin Christophe (urologie) (106)
Citation
(ISO format) 		RENARD, Julien et al. Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results. In: International neurourology journal, 2017, vol. 21, n° 1, p. 75-79. https://archive-ouverte.unige.ch/unige:94593

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Deposited on : 2017-06-01

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