TRANSURETHRAL COLLAGEN INJECTIONS IN THE THERAPY OF POSTRADICAL PROSTATECTOMY STRESS-INCONTINENCE

Purpose: We report on our initial results with glutaraldehyde cross-li nked collagen used as an injectable bulking agent for the therapy of p ost-radical prostatectomy stress incontinence. Materials and Methods: A total of 19 men underwent collagen injection for treatment of post-r adical prostatectomy stress incontinence. Results: Of the 19 patients treated 11 had either a good (4) or improved (7) result, for an overal l satisfaction rate of 58% with a followup of 3 to 15 months (mean 10. 4). Failure correlated with presence;of bladder neck contracture or sc arring and severity of incontinence. Conclusions: Injection of collage n for stress incontinence after radical prostatectomy has an acceptabl e short-term success rate, particularly in men with milder incontinenc e and lack of bladder neck scarring.