PERIURETHRAL COLLAGEN INJECTION FOR MALE AND FEMALE SPHINCTERIC INCONTINENCE - INDICATIONS, TECHNIQUES, AND RESULT

Intrinsic sphincter deficiency is characterized by a poorly functionin g intrinsic urethral sphincter, which leaks urine at relatively low pr essures. Patients with this sort of incontinence are candidates for co llagen implant therapy. Collagen is injected in the region of the blad der neck with success, depending on the precise placement of the colla gen. There is generally a need to implant more collagen into men. The percentage of patients showing improvement in their incontinence after therapy is 58-100%. Over time the collagen is absorbed and there is a need to repeat the treatment. Collagen increases the abdominal leak-p oint pressure without reducing the flow rate or increasing the residua l volume. Treatment failure does not prevent the performance of other procedures.