Surgeon's workshop: a simple method of antegrade collagen placement for postprostatectomy incontinence.
We describe a modified method for antegrade placement of periurethral collagen in incontinent men. In this technique, a flexible cystoscope is used to guide the placement of a specially designed needle into the bladder neck and external sphincter region via an antegrade transvesical approach. The 19-gauge, 28-cm long needle is passed suprapubically without a sheath. The procedure may be performed with local anesthesia and intravenous sedation only and takes less than 30 minutes.
Edelstein
R A
RA
Department of Urology, Boston University School of Medicine and The Boston Medical Center, Massachusetts 02118, USA.
Razdan
S
S
Joseph
R G
RG
Babayan
R K
RK
D003094:Collagen / Q000008:administration & dosage*; D003558:Cystoscopy; D006801:Humans; D007267:Injections; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011468:Prostatectomy / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*
D003094:Collagen