TREATMENT OF URINARY-INCONTINENCE USING I NJECTABLES

Endo- and periurethral injections of inert materials for the treatment of sphincteric urinary incontinence aim at achieving an improved coad aptation of the urothelium and/or compression of the urethra. Over the past twenty years many studies with differing success rates have been published. There is a lack of standardization of indications, patient selection, injection technique (localisation, injected volume, number of injections) and material of injection. Only few reports have a fol low-up evaluation by objektive parameters. In comparison to the report ed results of standard surgical procedures for treatment of female str ess incontinence, teflon injection achieves an average continence rate of only 40%. A conclusive judgement of the results of injections of a lternative materials such as collagen, silicone and autologous fat is not yet possible because of the lack of long term follow-up.