[Injectable therapy for urinary incontinence: a review].
Trans- or periurethral bladder neck injections are minimal invasive therapies for stress urinary incontinence which can be performed under local anaesthetic as an outpatient procedure. So far the best documented substance is collagen of bovine origin but other substances as silicone, autologous fat, chondrocytes and ethylenevinylalcohol are available. Success rates are between 60 and 80% with deteriorating long term results of approximately 30% requiring reinjection usually after 18 to 24 months.
Frauenklinik, Inselspital Bern.
A
A
Kuhn
W
W
Gelman
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P
Kuhn
D000273:Adipose Tissue; D000283:Administration, Intravesical; D000328:Adult; D000772:Anesthesia, Local; D000818:Animals; D001672:Biocompatible Materials / Q000008:administration & dosage; D019902:Chondrocytes; D003094:Collagen / Q000008:administration & dosage; D003558:Cystoscopy; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008297:Male; D010045:Outpatients; D011138:Polytetrafluoroethylene / Q000008:administration & dosage; D012828:Silicones / Q000008:administration & dosage; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D014563:Urodynamics
D001672:Biocompatible Materials; D012828:Silicones; C048470:glutaraldehyde-cross-linked collagen; D000431:Ethanol; D011138:Polytetrafluoroethylene; D003094:Collagen