Comparative Cost Analysis of Collagen Injection and Fascia Lata Sling Cystourethropexy for the Treatment of Type III Incontinence in Women

No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1997Comparative Cost Analysis of Collagen Injection and Fascia Lata Sling Cystourethropexy for the Treatment of Type III Incontinence in Women Craig J. Berman and Karl J. Kreder Craig J. BermanCraig J. Berman More articles by this author and Karl J. KrederKarl J. Kreder More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65302-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We examined the cost of 2 common forms of surgical treatment of genuine stress urinary incontinence due to intrinsic sphincter deficiency, that is sling cystourethropexy and periurethral collagen injection. Materials and Methods: Between May 1994 and July 1995, 14 women with intrinsic sphincter deficiency underwent sling cystourethropexies. A total of 14 matched patients with intrinsic sphincter deficiency underwent endoscopic collagen injection during the same period. Results: The total cost per treatment of fascia lata sling cystourethropexy ($10,382) was 2.1 times greater than that for collagen injection ($4,996, p < 0.001). At an average followup of 14.9 months for fascia lata cystourethropexy and 21.3 months for collagen injection, 71.4% of patients in the former and 26.7% in the latter groups were completely continent (p = 0.05). One or no pads were used daily by 85 and 40% of the patients, respectively. Conclusions: Fascia lata sling cystourethropexy may be a more cost-effective surgical treatment than periurethral endoscopic collagen injection for treating genuine stress urinary incontinence in women with intrinsic sphincter deficiency when the greater success rate of the former procedure is considered. References 1 : Advances in therapy of female stress incontinence.. Henry Ford Hosp. Med. J.1992; 40: 118. Google Scholar 2 Press, S. and Badlani, G.: Injection therapy for urinary incontinence. AUA Update Series, vol. 14, lesson 2, 1995. Google Scholar 3 : Stress incontinence: classification and surgical approach.. J. Urol.1988; 139: 727. Abstract, Google Scholar 4 : Pubovaginal fascial sling for the treatment of complicated stress urinary incontinence.. J. Urol.1991; 145: 1214. Abstract, Google Scholar 5 : Transplantation of fascia for relief of urinary stress incontinence.. Amer. J. Obst. Gynec.1942; 44: 398. Google Scholar 6 : Recurrent urinary stress incontinence treated by the fascia lata sling procedure.. Amer. J. Obst. Gynec.1974; 120: 613. Google Scholar 7 : The fascia lata sling procedure for treating recurrent genuine stress incontinence of urine.. Obst. Gynec.1988; 72: 699. Google Scholar 8 : Pubovaginal sling procedure for stress incontinence.. J. Urol.1978; 119: 82. Abstract, Google Scholar 9 : Periurethral Teflon injection for urinary incontinence.. Urol. Clin. North Amer.1978; 5: 415. Google Scholar 10 : Periurethral collagen injection for female incontinence.. Probl. Urol.1991; 5: 134. Google Scholar 11 : Collagen injection for intrinsic sphincteric deficiency in men.. J. Urol.1996; 155: 10. Link, Google Scholar 12 : Injectable collagen for type III female stress incontinence: the first 50 Australian patients.. Med. J. Aust.1993; 158: 89. Google Scholar 13 : Treatment of urinary incontinence by the periurethral implantation of glutaraldehyde cross-linked collagen.. J. Urol.1989; 141: 538. Google Scholar 14 : Periurethral implantation of glutaraldehyde cross-linked collagen (Contigen) in women with type I or III stress incontinence: quantitative outcome measures.. Brit. J. Urol.1995; 75: 359. Google Scholar 15 : Early experience with intraurethral collagen injections for urinary incontinence.. J. Urol.1992; 148: 1797. Abstract, Google Scholar 16 : Surgery for genuine stress incontinence.. Brit. J. Obst. Gynaec.1994; 101: 371. Google Scholar 17 : Experience with pubovaginal slings for urinary incontinence at the University of Michigan.. J. Urol.1987; 138: 525. Abstract, Google Scholar Department of Urology, University of Iowa, Iowa City, Iowa.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWILSON T, LEMACK G and ZIMMERN P (2018) Management of Intrinsic Sphincteric Deficiency in WomenJournal of Urology, VOL. 169, NO. 5, (1662-1669), Online publication date: 1-May-2003. Volume 157Issue 1January 1997Page: 122-124 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Craig J. Berman More articles by this author Karl J. Kreder More articles by this author Expand All Advertisement PDF downloadLoading ...