Document Detail


Transurethral injection of bulking agent for treatment of failed mid-urethral sling procedures.
MedLine Citation:
PMID:  20645075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: We evaluated the efficacy of transurethral injection (TUI) for the treatment of recurrent or persistent stress urinary incontinence after mid-urethral sling (MUS) procedures.
METHODS: A retrospective study was conducted among 23 women who had undergone TUI for failed MUS using bulking agents, Macroplastique® and Durasphere®. The Sandvik questionnaire, Subjective Symptom Visual Analogue Scale (VAS), Incontinence Quality of Life (I-QOL) assessment, and Benefit, Satisfaction, and Willingness to Continue questionnaire were used to evaluate the efficacy of TUI.
RESULTS: The cure rate was 34.8% for a median follow-up of 10 months. Subjective symptom VAS, total, and all domains of I-QOL scores were significantly improved after TUI. Ninety-two percent of the patients reported a benefit and 77% of the patients were satisfied with the treatment.
CONCLUSIONS: TUI for failed MUS demonstrated a low cure rate but high patient satisfaction, and the procedure was minimally invasive with no significant complications.
Authors:
Ha Na Lee; Young-Suk Lee; Ji-Yeon Han; Jae Yong Jeong; Myung-Soo Choo; Kyu-Sung Lee
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Publication Detail:
Type:  Journal Article     Date:  2010-07-20
Journal Detail:
Title:  International urogynecology journal     Volume:  21     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2011-03-10     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  1479-83     Citation Subset:  IM    
Affiliation:
Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Combined Modality Therapy
Dimethylpolysiloxanes / administration & dosage,  adverse effects,  therapeutic use*
Equipment Failure*
Female
Follow-Up Studies
Glucans / administration & dosage,  adverse effects,  therapeutic use*
Humans
Injections
Middle Aged
Patient Satisfaction
Retrospective Studies
Suburethral Slings*
Treatment Outcome
Urinary Incontinence, Stress / therapy*
Zirconium / administration & dosage,  adverse effects,  therapeutic use*
Chemical
Reg. No./Substance:
0/Dimethylpolysiloxanes; 0/Glucans; 0/durasphere; 63148-62-9/baysilon; 7440-67-7/Zirconium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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