Int Neurourol J.  2017 Mar;21(1):75-79. 10.5213/inj.1732644.322.

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

• Renard J
• Citeri M
• Zanollo L
• Guerrer C
• Rizzato L
• Frediani L
• Iselin C
• Spinelli M

• KMID: 2375597
• DOI: http://doi.org/10.5213/inj.1732644.322

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.

Keyword

Urinary Incontinence, Stress; Urinary Bladder, Neurogenic; Injectable; Bulking

MeSH Terms

Condoms
Elastomers*
Female
Humans
Male
Operative Time
Prostate
Prostheses and Implants*
Treatment Failure
Urinary Bladder
Urinary Bladder, Neurogenic
Urinary Incontinence*
Urinary Incontinence, Stress
Elastomers