Transurethral radiofrequency collagen denaturation for treatment of female stress urinary incontinence: a review of the literature and clinical recommendations

James Chivian Lukban, James Chivian Lukban

Abstract

Stress urinary incontinence is a prevalent condition in women with a significant negative effect on quality of life. Intervention includes behavioral modification, intravaginal devices, pelvic floor muscle exercises, biofeedback, functional electrical stimulation, and surgical procedures. We will review a new in-office procedure for the treatment of SUI that may serve as a viable nonsurgical option.

Figures

Figure 1
Figure 1
Porcine bladder neck posttreatment with Renessa. histologic image (hematoxylin and eosin) of porcine bladder outlet at 8 weeks following radiofrequency collagen remodeling. Denatured collagen is surrounded by focal chronic inflammatory cells.
Figure 2
Figure 2
Renessa equipment.
Figure 3
Figure 3
Probe with electrodes deployed delivering treatment.
Figure 4
Figure 4
Probe with markings.

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