title: Surgeon's workshop: a simple method of antegrade collagen placement for postprostatectomy incontinence.
abstract: 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.
authors.affiliation: Department of Urology, Boston University School of Medicine and The Boston Medical Center, Massachusetts 02118, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Edelstein
authors.forename: S
authors.initials: S
authors.lastname: Razdan
authors.forename: R G
authors.initials: RG
authors.lastname: Joseph
authors.forename: R K
authors.initials: RK
authors.lastname: Babayan
mesh_terms: 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*
chemical_list: D003094:Collagen