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Incontinence in elderly women: is periurethral collagen an advance?
Article first published online: 19 AUG 2005
DOI: 10.1111/j.1471-0528.1997.tb11036.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 104, Issue 2, pages 154–157, February 1997
Additional Information
How to Cite
Stanton, S. L. and Monga, A. K. (1997), Incontinence in elderly women: is periurethral collagen an advance?. BJOG: An International Journal of Obstetrics & Gynaecology, 104: 154–157. doi: 10.1111/j.1471-0528.1997.tb11036.x
Publication History
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Abstract
- Article
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Objective To determine whether periurethral collagen is an effective, safe and practical day-case procedure to control genuine stress incontinence (urethral sphincter incompetence) in the elderly female.
Design Prospective longitudinal study using subjective and objective outcome measures with long term follow up.
Setting A teaching hospital tertiary referral centre.
Sample Thirty-two women over 65 years of age with a urodynamic diagnosis of genuine stress incontinence.
Results At one year, 22 women (79%) were subjectively cured or improved, and 14 (50%) were objectively cured; at two years, 18 (69%) and 14 (54%), respectively. Symptoms of urgency, urge incontinence, frequency and nocturia improved, while voiding difficulty remained unchanged. Brief urinary retention was encountered in seven women. No long term side effects or complications were encountered. Urodynamic studies suggest that collagen works by preventing premature bladder neck opening through physical stress, rather than by obstruction. This would account for the slight increase in functional urethral length.
Conclusion Contigen collagen is a simple and effective day case procedure as an alternative to major surgery and is without significant morbidity or complication. It is ideal for the elderly.