Contigen

Contigen Bard Collagen Implant for Urinary Incontinence

The Contigen Bard Collagen Implant is a medical device designed to treat urinary incontinence caused by intrinsic sphincter deficiency (ISD). This condition primarily affects women and is characterized by a poor or non-functioning bladder outlet mechanism. The implant is indicated for use in patients who have not shown improvement in their incontinence for at least 12 months.

How It Works

The Contigen Implant is a bulking agent that is injected locally to strengthen the bladder outlet and improve urinary control. It is particularly suited for women who have previously undergone a suspension procedure without success and have an open bladder neck at rest. However, it is not recommended for patients with a hypermobile urethra, high leak point pressures, or significant detrusor problems.

Patient Selection

Proper patient selection is crucial for optimal outcomes with the Contigen Implant. Candidates typically undergo a thorough diagnostic evaluation to confirm the presence of incontinence and identify contributing factors. This evaluation includes a comprehensive history, physical examination, urinalysis, patient diary of voiding activity, and a pad test to quantify the degree of incontinence. If necessary, urodynamic evaluation by an experienced urologist may be performed to identify the specific cause of incontinence and detect functional, neurological, or anatomic lesions.

Key Features

• Indication: Treatment of urinary incontinence due to intrinsic sphincter deficiency (ISD).
• Patient Profile: Typically female patients with at least one previous failed suspension procedure and an open bladder neck at rest.
• Contraindications: Patients with a hypermobile urethra, high leak point pressures, or significant detrusor problems.
• Diagnostic Evaluation: Comprehensive history, physical examination, urinalysis, patient diary of voiding activity, pad test, and urodynamic evaluation if necessary.

Conclusion

The Contigen Bard Collagen Implant offers a nonsurgical treatment option for urinary incontinence caused by ISD. With proper patient selection and a thorough diagnostic evaluation, this device can provide effective relief for women struggling with this condition. If you are considering the Contigen Implant, consult with your healthcare provider to determine if it is the right treatment for you.