Injectables in the treatment of female stress incontinence

The failure to store urine resulting from bladder outflow incompetence requires a method to increase outflow resistance. Peri- and intraurethral injection is one form of treatment capable of accomplishing this need. The best results are obtained in those women who do not have detrusor abnormalities, who have adequate bladder capacity, who have no anatomic abnormality, and have demonstrable intrinsic sphincteric deficiency of function. The technique is tolerated well by patients and reduces the need for alternative major open surgical procedures.