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Scientific article
Open access
English

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

Published inInternational neurourology journal, vol. 21, no. 1, p. 75-79
Publication date2017
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
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. doi: 10.5213/inj.1732644.322
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Article (Published version)
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Identifiers
ISSN of the journal2093-4777
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