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International Urogynecology Journal

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01-12-2010 | Original Article

Transurethral injection of bulking agent for treatment of failed mid-urethral sling procedures

Authors: Ha Na Lee, Young-Suk Lee, Ji-Yeon Han, Jae Yong Jeong, Myung-Soo Choo, Kyu-Sung Lee

Published in: International Urogynecology Journal | Issue 12/2010

Abstract

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.

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Title: Transurethral injection of bulking agent for treatment of failed mid-urethral sling procedures
Authors: Ha Na Lee
Young-Suk Lee
Ji-Yeon Han
Jae Yong Jeong
Myung-Soo Choo
Kyu-Sung Lee
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 12/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1224-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transurethral injection of bulking agent for treatment of failed mid-urethral sling procedures

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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