[an error occurred while processing this directive]
Home Search SiteMap Contact Us Forum Videos Store Physician Board


STRESS INCONTINENCE
Overview
Risk Factors
Causes
Management
Injectables
Nonsurgical Treatment
Medications
Surgical Treatment
Treatment Profiler
Find a Urologist

[an error occurred while processing this directive] [an error occurred while processing this directive] CONDITIONS
Adrenal Cancer
Bladder Cancer
Bladder Control
BPH/Enlarged Prostate
Emergencies
Epididymitis/Orchitis
Erectile Dysfunction
Female Sexual Dysfunction
Hematuria
HIV/AIDS
Incontinence
Interstitial Cystitis
Kidney Cancer
Kidney Infection
Kidney Stones
Male Infertility
Overactive Bladder
Pediatric Urology
Peyronie's Disease
Premature Ejaculation
Prostate Cancer
Prostatitis
STDs
Testicular Cancer
Testicular Pain/Scrotal Pain
Testosterone Deficiency
Upper Tract Tumors
Urethral Cancer
Urinary Tract Infection
Vaginal Prolapse
Varicocele

DIAGNOSTIC TESTS
CT Scan
Cystoscopy
MRI Scan
TRUS/ Prostate Biopsy
Urinalysis
PROCEDURES
Circumcision
Vasectomy
Vasectomy Reversal
HEALTH & WELLNESS
Meditation
Nutrition
Obesity/Overweight
Smoking
Stress
RESOURCES
Anatomy
Caregiving
Clinical Trials
Education
Find a Doctor
Glossary
Health Quizzes
Links/Hotlines
Videos
What Is a Urologist?
FOR DOCTORS ONLY
Website Services
Get Listed in MDLocator
CME
ABOUT US
Healthcommunities
Testimonials
Link to urologychannel
Urologkanalen (Swedish)


printer friendly versionprint this email to a friendemail this

Incontinence

[an error occurred while processing this directive] Treatments for Stress Incontinence

Injection therapy
Injecting material to increase the bulk around the urethra can improve the function of the urethral sphincter and compresses the urethra near the bladder outlet.

Injectable agents can help women who are not candidates for surgery and have persistent intrinsic sphincter deficiency (very weak urethral sphincter) without urethral hypermobility. Injectable agents also may help men with intrinsic sphincter deficiency that has lasted longer than 1 year.

Injectable materials include collagen (naturally occurring protein found in skin, bone, and connective tissue), fat from the patient's body (autologous fat), and polytetrafluoroethylene (PTFE) and Durasphere® (synthetic compounds).

Collagen
Collagen is a natural substance that breaks down and is excreted over time. The Contigen® Bard® collagen implant uses a purified form of collagen derived from cowhide. Potential recipients have a skin test 28 days prior to treatment to determine whether or not they are sensitive to the material. Sensitivity is indicated by inflammation at the injection site.

A prefilled syringe is used to inject the collagen around the urethra. Some physicians conduct a series of treatments over a few weeks or months. Others instruct patients to return for additional treatment when leakage occurs. Results vary from patient to patient and from physician to physician. Some patients achieve continence for 12 to 18 months and others require more frequent treatment. Some remain dry for 3 to 5 years.

Autologous fat
Autologous fat injections are used to treat intrinsic sphincter deficiency. Fat from the patient's body is gathered by liposuction from the abdominal wall and is injected around the urethra in a simple procedure performed under local anesthesia. Long-term effectiveness of this procedure is not known.

Polytetrafluoroethylene (PTFE)
This synthetic compound in the form of a micropolymer paste is injected into the upper urethra. The PTFE particles spur the growth of fibroblasts (fiber-making cells), which fix the material in the urethral tissue and assist in urethral closure. PTFE is not an approved treatment for incontinence in the United States because PTFE particles may migrate to other parts of the body, such as the lungs, brain, and lymph nodes.

Durasphere®
Durasphere® is a water-based gel that contains tiny, carbon-coated beads. Unlike PTFE, this material is not absorbed by the body. The procedure is usually performed under local anesthesia, although some patients may require general anesthesia. A cystoscope is inserted into the urethra, allowing the physician to see the bladder neck area. The gel is injected through a hollow needle into the numbed areas of tissue around the bladder neck. This increases the bulk around the urethral sphincter, allowing it to close enough to help prevent urine from leaking. After treatment, 9 out of 10 women experience improved continence.

[an error occurred while processing this directive]

Continue reading...
To continue the above article, please use the links below. You can also locate a provider near you, by using our MDLocator tool. In addition, other medical topics can be found using the navigation bar on the left side of the page.

Overview
Risk Factors
Causes
Management
Injectables
Nonsurgical Treatment
Medications
Surgical Treatment
Treatment Profiler
Find a Urologist

Do you have a personal health story that you would like to share with others?

As a source of free patient education, our goal is to provide our users with trustworthy information and support from others. That's why we've started our "Living with..." sections.

Our "Living With..." support pages are a place to share experiences about living with a certain condition, disease, disorder, or illness and for loved ones of those dealing with health-related issues.

Many people, especially when newly diagnosed, find comfort in knowing that others are having a similar experience.

Help others by sharing your story.

View stories already submitted.
printer friendly versionprint this email to a friendemail this

Saturday, November 07, 2009
Urology Features

Search

Search our websites

Find a Doctor

MDLocator - Find a Doctor Near You
Zip code

(Advanced search)

[an error occurred while processing this directive]

Search

Search our websites

Find a Doctor

MDLocator - Find a Doctor Near You
Zip code

(Advanced search)

Health Profiler

[an error occurred while processing this directive]

Search

Search our websites

Find a Doctor

MDLocator - Find a Doctor Near You
Zip code

(Advanced search)

top

Home Search SiteMap Contact Us Forum Videos Store Physician Board
[an error occurred while processing this directive]
This page last modified: Friday, May 18, 2007
Healthcommunities.com - Physician Developed and Monitored.
We comply with the HONcode standard for health trust worthy information:
verify here.
© 1998-2007
by Healthcommunities.com, Inc. All rights reserved.
Contact the webmaster with any technical issues.

Site hosted by Creative Mesh.
Medical Web Site Design | Doctor List
Advertising Opportunities - Targeted Internet Marketing


General Website Disclaimer | Legal Notice | Privacy Statement | Advertising Disclaimer