Abstract
This study examined subjective continence status and use of subsequent alternative therapeutic procedures at long-term follow-up after collagen injection for stress incontinence (SI) in women. Seventy women who underwent collagen injection for SI were identified by retrospective chart review and surveyed by mail questionnaire for subjective continence status, daily pad usage pre- and post-treatment, and use of anticholinergics and alternative procedures. Questionnaire responders’ versus non-responders’ mean age, follow-up, and pad usage were compared. Thirty-three women (47%) responded on questionnaires. Of the 33, 50% were dry or subjectively improved at long-term follow-up and 91% had not chosen an alternative invasive treatment after collagen injection. Chart review showed responders were not significantly different from non-responders in mean age (65.9 vs. 69.2 years), pad usage (0.6 vs. 0.8 pads/day), or follow-up (4.5 vs. 4.3 years). Collagen injection, a minimally invasive treatment for SI, appears to benefit a significant number of women.
Similar content being viewed by others
References
Benshushan A, Brzezinski A, Shoshani O et al (1998) Periurethral injection for the treatment of urinary incontinence. Obstet Gynecol Surv 53:383
Bent AE, Foote J, Siegel S et al (2001) Collagen implant for treating stress urinary incontinence in women with urethral hypermobility. J Urol 166:1354
Blaivas JG, Olsson CA (1988) Stress incontinence: classification and surgical approach. J Urol 139:727
Gorton E, Stanton S, Monga A et al (1999) Periurethral collagen injection: a long-term follow-up study. BJU Int 84:966
Kim YH, Kattan MW, Boone TB (1997) Correlation of urodynamic results and urethral coaptation with success after transurethral collagen injection. Urology 50:941
Smith DN, Appell RA, Winters JC et al (1997) Collagen injection therapy for female intrinsic sphincteric deficiency. J Urol 157:1275
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sakamoto, K., Sharma, S. & Wheeler, J.S. Long-term subjective continence status and use of alternative treatments by women with stress urinary incontinence after collagen injection therapy. World J Urol 25, 431–433 (2007). https://doi.org/10.1007/s00345-007-0193-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00345-007-0193-4