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Title

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

Authors
Citeri, Marco
Zanollo, Lucia
Guerrer, Chiara
Rizzato, Luigi
Frediani, Luca
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 BulkingInjectableUrinary Bladder, NeurogenicUrinary Incontinence, Stress
Identifiers
PMID: 28361514
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Article (Published version) (2.1 MB) - public document Free access
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Research group Groupe Iselin Christophe (urologie) (106)
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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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