Nineteen men with post-prostatectomy urinary incontinence grade II and
III (mean follow-up 12.7 months) underwent periurethral injections of
collagen, In all, 37 procedures were performed; 58 % of the patients
underwent the procedure at least twice. A mean of 16 mi collagen was i
njected, The results were successful directly after injections, leavin
g all patients continent; however, after 3 months the treatment failed
and all patients returned to their incontinence status as seen preope
ratively. No perioperative complications were noted. Despite the simpl
e and safe nature of this procedure, men with severe postoperative str
ess incontinence do not benefit from periurethral collagen injections.