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KMID : 1240020170210010075
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International Neurourology Journal
2017 Volume.21 No. 1 p.75 ~ p.79
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Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results
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Renard Julien
Citeri Marco
Zanollo Lucia
Guerrer Chiara
Rizzato Luigi
Frediani Luca
Iselin Christophe
Spinelli Michele
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Abstract
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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.
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KEYWORD
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Urinary Incontinence, Stress, Urinary Bladder, Neurogenic, Injectable, Bulking
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