PERIURETHRAL INJECTION OF COLLAGEN IN THE TREATMENT OF INTRINSIC SPHINCTERIC DEFICIENCY IN THE FEMALE-PATIENT

Female stress urinary incontinence may result from anatomic displaceme nt of a normally functioning urethra or intrinsic sphincteric deficien cy (ISD). Patients with a fixed, well supported urethra and ISD are ex cellent candidates for the transurethral or periurethral injection of collagen as treatment of their incontinence. Excellent success rates a re achieved within one to three injections under local anesthesia, and the complications associated with the procedure are minimal. Of the p atients who achieve dryness, more than 50% remain dry two years follow ing injection. Periurethral injection of collagen is a nonsurgical opt ion in the management of female stress urinary incontinence.