title: Treatment of Stress Urinary Incontinence in Neurological Patients With an Injectable Elastomer Prosthesis: Preliminary Results.
abstract: Many treatment options for stress urinary incontinence are difficult to apply to neurological patients. Urolastic is a new agent that is primarily indicated for women with mild stress urinary incontinence or men after prostate surgery. In this report, we present a series of 5 cases describing the first use of Urolastic to treat neurological patients. All patients were evaluated with a voiding diary and the use of auxiliary devices as the main indicators of continence. The median operative time was 30.8 minutes, and no complications were observed. Of the 5 patients, 4 reported improved incontinence: 2 switched from diapers to small pads, while the other 2 patients were able to discontinue urinary condom use. The only instance of treatment failure occurred in a patient with a low-compliance bladder. The advantages of this procedure appear to include a soft-cuff effect, reversibility, and minimal invasiveness. However, a future randomized study would be necessary to validate this treatment option.
authors.affiliation: Divison of Urology, Geneva University Hospital, Geneva, Switzerland.|Division of Neuro-Urology, Ospedale Regionale di Bellinzona and Neurocentro della Svizzera Italiana, Lugano, Switzerland.
authors.forename: Julien
authors.identifier: 0000-0003-3390-1502
authors.initials: J
authors.lastname: Renard
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Citeri
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Zanollo
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Guerrer
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Rizzato
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Frediani
authors.affiliation: Divison of Urology, Geneva University Hospital, Geneva, Switzerland.
authors.forename: Christophe
authors.initials: C
authors.lastname: Iselin
authors.affiliation: Spinal Unit, Division of Neurourology, A. Zanollo Center for Sacral Area Disfunction, Niguarda Hospital, Milan, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Spinelli
keywords: Bulking; Injectable; Urinary Bladder, Neurogenic; Urinary Incontinence, Stress