title: Periurethral collagen for urinary incontinence after gender reassignment surgery.
abstract: We report on 2 patients, one female and one male transsexual; in both, Type III stress urinary incontinence developed after gender reassignment surgery. Both patients were treated by periurethral injection of gluteraldehyde cross-linked collagen resulting in a marked symptomatic improvement in association with a significant rise in abdominal leak point pressures. We believe these are the first reported cases of collagen injection being used for urinary incontinence after gender reassignment surgery.
authors.affiliation: Department of Surgery, University of Michigan Medical Center, Ann Arbor.
authors.forename: C
authors.initials: C
authors.lastname: Fitzpatrick
authors.forename: S J
authors.initials: SJ
authors.lastname: Swierzewski
authors.forename: E J
authors.initials: EJ
authors.lastname: McGuire
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D003094:Collagen; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D014189:Transsexualism / Q000601:surgery*; D014521:Urethra; D014550:Urinary Incontinence, Stress / Q000628:therapy*
chemical_list: D001672:Biocompatible Materials; C048470:glutaraldehyde-cross-linked collagen; D003094:Collagen