MINIMALLY INVASIVE TREATMENT OF STRESS-IN CONTINENCE - 2 ALTERNATIVE METHODS (ENDOSONOGRAPHIC VS TRANSURETHRAL OF COLLAGEN INJECTION)

For many years, injectable substances have been in use for the treatme nt of incontinence. We examined different methods of injecting glutara ldehyde crosslinked bovine collagen injection for their effectivness i n treat ment of genuine stress incontinence. In the first group of pat ients collagen injection was done under endo-ultrasound guidance, In t he second group an endoscopic system was used, There was no major diff erence in patient selection for the two groups. Incontinence symptoms became less severe in only 5 of 15 (33%) patients in the endo-ultrasou nd group, who then had moderate stress incontinence, Endoscopic collag en treatment resulted in social continence in 15 of the 22 (68.2%) pat ients. We conclude that endoscopic collagen is superior to endo-ultras ound-guided collagen injection in the treatment of incontinence.