Endoscopic treatment of urinary incontinence in children with primary epispadias.

Abstract

OBJECTIVE:

To evaluate the efficacy of the endoscopic insertion of polydimethylsiloxane particles (Macroplastique, Uroplasty Inc) (MPQ) into the posterior urethral region of boys with urinary incontinence and primary epispadias.

PATIENTS AND METHODS:

Between 1991 and 1995, 12 boys aged 3-7 years (mean 4.8) received an endoscopic submucosal injection with MPQ into the posterior urethra to correct urinary incontinence; the 12 boys were wet day and night. All patients had undergone a modified Cantwell epispadias repair before injection. The procedure was performed 24 times with a total volume of 83 mL of material injected into 59 sites in the posterior urethra (mean volume per injection 1.4 mL). The mean follow-up after injection was 10.8 months (range 3-22).

RESULTS:

Three patients became completely dry, the degree of incontinence was improved in six and there was no change in three.

CONCLUSION:

The preliminary results of this relatively non-invasive treatment are encouraging.

• Authors: P G Duffy, P G Ransley
• Journal: British journal of urology (Br J Urol) Vol. 81 Issue 2 Pg. 309-11 (Feb 1998) ISSN: 0007-1331 [Print] England
• PMID: 9488077 (Publication Type: Journal Article)

Chemical References

• Dimethylpolysiloxanes

Topics

• Child
• Child, Preschool
• Cohort Studies
• Dimethylpolysiloxanes (administration & dosage)
• Endoscopy
• Epispadias (complications, therapy)
• Humans
• Injections
• Male
• Treatment Outcome
• Urinary Incontinence (etiology, therapy)