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Try collagen injection if surgery fails.

Collagen injections can benefit women who still suffer from stress urinary incontinence (SUI) even after urethral or periurethral surgery, report researchers at the University of Texas Southwestern Medical Center, Dallas.

"Patients with persistent or recurrent incontinence often do not wish to undergo another surgery," indicates Philippe Zimmern, professor of urology. "The collagen injection is also a good alternative for those who cannot afford recovery time from surgery or are too medically unfit or frail to undergo a second surgical intervention."

The prevalence of SUI tends to be higher in women than men. While not fife threatening, the condition socially can cripple those afflicted because of its embarrassing nature. Despite surgical advancements for treatment, existing procedures sometimes fail. Collagen has been used on SUI patients because its injection into the tissue surrounding the urethra tightens the urethral sphincter and stops urine from leaking.

The study reviewed the records of patients who underwent periurethral collagen injection between January 2000 and December 2006. Patients were anesthetized briefly while the collagen was injected--93% considered themselves clinically improved or cured.

Zimmern and his colleagues also used a 3-D ultrasound to define the location and volume of collagen remaining in the urethral wall several months after the original injection. In patients who still suffered from SUI, a second injection was considered when the ultrasound indicated there was asymmetrical or low collagen volume. If the ultrasound showed adequate collagen levels but the patient still suffered from SUI, a different therapy was recommended.

'M/omen need to know they do not have to live with SUI," Zimmem stresses. "Although collagen injections might not work for everyone, the option is out there, and patients need to communicate with their physicians that they are afflicted with the condition to discover what treatments are possible"

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Title Annotation:Urinary Incontinence
Publication:USA Today (Magazine)
Article Type:Brief article
Geographic Code:1USA
Date:Feb 1, 2010
Words:294
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