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Published in: International Urogynecology Journal 4/2008

01-04-2008 | Original Article

Long-term results and patients’ satisfaction after transurethral ethylene vinyl alcohol (Tegress®) injections: a two-centre study

Authors: Annette Kuhn, Werner Stadlmayr, Amara Sohail, Ash Monga

Published in: International Urogynecology Journal | Issue 4/2008

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Abstract

Tegress is ethylene vinyl alcohol which is non-allergenic and permanent. The aim of the study was to evaluate efficacy, feasibility and safety of transurethral Tegress® in women with urodynamic stress incontinence in a two-centre setting. Approximately 33 female patients with urodynamic stress incontinence were prospectively included in the study. Preoperatively, the patient’s history, gynaecological examination and multichannel urodynamics were performed. On follow-up, the patient was asked to use a visual analogue scale to measure her contentness and underwent uroflowmetry and a cough test. Median follow up was 51 months. About 15 women considered themselves as completely continent, and 23 (69%) were either satisfied or very satisfied. Pad test was positive in 18 (54.5%) patients, and cough test was positive in 20 (60.6%). Patients’ satisfaction did not correlate with objective dryness. Ethylene vinyl alcohol is a bulking agent with a success rate of approximately 45% after 51 months.
Literature
1.
go back to reference Keegan P, Atiemo K, Cody J, McClinton S, Pickard R (2007) Periurethral injection therapy for urinary incontinence in women.. Cochrane Database Syst Rev 18(3):CD003881 Keegan P, Atiemo K, Cody J, McClinton S, Pickard R (2007) Periurethral injection therapy for urinary incontinence in women.. Cochrane Database Syst Rev 18(3):CD003881
2.
go back to reference Barranger E (2000) Results of transurethral injection of silicone micro-implants for female s with intrinsic sphincter deficiency. J Urol 164(5):1619–1622PubMedCrossRef Barranger E (2000) Results of transurethral injection of silicone micro-implants for female s with intrinsic sphincter deficiency. J Urol 164(5):1619–1622PubMedCrossRef
3.
go back to reference Chrouser KL et al (2004) Carbon coated zirconium beads in beta-glucan gel and bovine glutaraldehyde cross-linked collagen injections for intrinsic sphincter deficiency: continence and satisfaction after extended follow up. J Urol 171:1152–1155PubMedCrossRef Chrouser KL et al (2004) Carbon coated zirconium beads in beta-glucan gel and bovine glutaraldehyde cross-linked collagen injections for intrinsic sphincter deficiency: continence and satisfaction after extended follow up. J Urol 171:1152–1155PubMedCrossRef
4.
go back to reference Bent AE et al (2001) Treatment of intrinsic sphincter deficiency using autologous ear chondrocytes as a bulking agent. Neurourol Urodyn 20(2):157–165PubMedCrossRef Bent AE et al (2001) Treatment of intrinsic sphincter deficiency using autologous ear chondrocytes as a bulking agent. Neurourol Urodyn 20(2):157–165PubMedCrossRef
5.
go back to reference Haab F, Zimmern PE, Leach GE (1997) Urinary stress incontinence due to intrinsic sphincter deficiency: experience with fat and collagen periurethral injections. J Urol 157(4):1283–1286PubMedCrossRef Haab F, Zimmern PE, Leach GE (1997) Urinary stress incontinence due to intrinsic sphincter deficiency: experience with fat and collagen periurethral injections. J Urol 157(4):1283–1286PubMedCrossRef
6.
go back to reference van Kerrebroeck P et al (2004) Efficacy and safety of a novel system (NASH/Dx copolymer via the implant device) for the treatment of SUI. Urol 64(2):276–281PubMedCrossRef van Kerrebroeck P et al (2004) Efficacy and safety of a novel system (NASH/Dx copolymer via the implant device) for the treatment of SUI. Urol 64(2):276–281PubMedCrossRef
7.
go back to reference Monga AK, Robinson D, Stanton SL (1995) Periurethral collagen injections for genuine stress incontinence: a 2 year follow up. Br J Urol 75:156CrossRef Monga AK, Robinson D, Stanton SL (1995) Periurethral collagen injections for genuine stress incontinence: a 2 year follow up. Br J Urol 75:156CrossRef
8.
go back to reference Richardson TD, Kennelly MJ, Faerber GJ (1995) Endoscopic injection of glutaraldehyde cross linked collagen for the treatment of intrinsic sphincter deficiency in women. Urology 46(3):378–381PubMedCrossRef Richardson TD, Kennelly MJ, Faerber GJ (1995) Endoscopic injection of glutaraldehyde cross linked collagen for the treatment of intrinsic sphincter deficiency in women. Urology 46(3):378–381PubMedCrossRef
9.
go back to reference Pickard R et al (2003) Periurethral injection therapy for urinary stress incontinence in women. . Cochrane Database Syst Rev 2:CD003881PubMed Pickard R et al (2003) Periurethral injection therapy for urinary stress incontinence in women. . Cochrane Database Syst Rev 2:CD003881PubMed
10.
go back to reference Monga AK, Stanton SL (1997) Urodynamics—prediction, outcome and analysis of mechanism for cure of stress incontinence by periurethral collagen. Br J Obstet Gynaecol 104(2):158–162PubMed Monga AK, Stanton SL (1997) Urodynamics—prediction, outcome and analysis of mechanism for cure of stress incontinence by periurethral collagen. Br J Obstet Gynaecol 104(2):158–162PubMed
11.
go back to reference McGuire EJ, English SF (1997) Periurethral collagen injection for male and female sphincteric incontinence: indications, techniques and result. World J Urol 15(5):306–309PubMedCrossRef McGuire EJ, English SF (1997) Periurethral collagen injection for male and female sphincteric incontinence: indications, techniques and result. World J Urol 15(5):306–309PubMedCrossRef
12.
go back to reference McGuire E, Appell RA (1994) Transurethral collagen injection for urinary incontinence. Urology 43(4):413–415PubMedCrossRef McGuire E, Appell RA (1994) Transurethral collagen injection for urinary incontinence. Urology 43(4):413–415PubMedCrossRef
13.
go back to reference Kim YH, Kattan MW, Boone TB (1997) Correlation of urodynamic results and urethral coaptation with success after transurethral collagen injection. Urology 50(6):941–948PubMedCrossRef Kim YH, Kattan MW, Boone TB (1997) Correlation of urodynamic results and urethral coaptation with success after transurethral collagen injection. Urology 50(6):941–948PubMedCrossRef
14.
go back to reference Gorton E, Stanton S, Monga A, Wiskind AK, Lentz GM, Bland DR (1999) Periurethral collagen injection: a long term follow up study. BJU Int 84(9):966–971PubMedCrossRef Gorton E, Stanton S, Monga A, Wiskind AK, Lentz GM, Bland DR (1999) Periurethral collagen injection: a long term follow up study. BJU Int 84(9):966–971PubMedCrossRef
15.
go back to reference Florio F, Lauriola W, Nardella M, Strizzi V, Valone S, Trossello MP (2003) Endovascular treatment of intracranial arterio-venous malformations with Onyx embolization: preliminary experience. Radiol Med 106(5–6):512–520PubMed Florio F, Lauriola W, Nardella M, Strizzi V, Valone S, Trossello MP (2003) Endovascular treatment of intracranial arterio-venous malformations with Onyx embolization: preliminary experience. Radiol Med 106(5–6):512–520PubMed
16.
go back to reference Rieder F, Hamer O, Gelbmann C, Schölmerich J, Gross J, Gross Feuerbach S, Herfarth H, Rogerl G (2006) Crohn’s disease of the oesophagus: treatment of an esophagobronchial fistula with the novel liquid embolic polymer “onyx”. Z Gastroenterol 44(7):599–602PubMedCrossRef Rieder F, Hamer O, Gelbmann C, Schölmerich J, Gross J, Gross Feuerbach S, Herfarth H, Rogerl G (2006) Crohn’s disease of the oesophagus: treatment of an esophagobronchial fistula with the novel liquid embolic polymer “onyx”. Z Gastroenterol 44(7):599–602PubMedCrossRef
17.
go back to reference Arat A, Cerkige S, Saatci I, Ozgen B (2004) Transvernous injection of Onyx for casting of the cavernous sinus for the treatment of carotid-cavernous fistula. Neuroradiology 46(12):1012–1015PubMedCrossRef Arat A, Cerkige S, Saatci I, Ozgen B (2004) Transvernous injection of Onyx for casting of the cavernous sinus for the treatment of carotid-cavernous fistula. Neuroradiology 46(12):1012–1015PubMedCrossRef
18.
go back to reference Naughton CK, Myles J, Thomas AJ (2004) The use of URYX for reversible vasectomy in a rabbit model. J Androl 2(4):545–53 Naughton CK, Myles J, Thomas AJ (2004) The use of URYX for reversible vasectomy in a rabbit model. J Androl 2(4):545–53
19.
go back to reference Jackson S, Dovovan J, Brookes S et al (1996) The bristol lower urinary tract symptoms questionnaire: development and psychometric testing. BJU 77:805–812PubMedCrossRef Jackson S, Dovovan J, Brookes S et al (1996) The bristol lower urinary tract symptoms questionnaire: development and psychometric testing. BJU 77:805–812PubMedCrossRef
20.
go back to reference Tamanini JT, D’Ancona CA, Netto NR (2006) Macroplastique implantation system for female stress urinary incontinence: long-term follow-up. J Endorurol 20(12):1082–1086CrossRef Tamanini JT, D’Ancona CA, Netto NR (2006) Macroplastique implantation system for female stress urinary incontinence: long-term follow-up. J Endorurol 20(12):1082–1086CrossRef
21.
go back to reference Abdala N, Levitin A, Dawson A, Maffra R, Munoz-Ramirez H, Godec K, Dolmatch BL (2001) Use of ethylenevinylalcohol for tubal sterilization by selective catheterization in rabbits. J Vasc Inter Radiology 12:979–984CrossRef Abdala N, Levitin A, Dawson A, Maffra R, Munoz-Ramirez H, Godec K, Dolmatch BL (2001) Use of ethylenevinylalcohol for tubal sterilization by selective catheterization in rabbits. J Vasc Inter Radiology 12:979–984CrossRef
22.
go back to reference Schneider T, Sperling H, Rossi R Schmidt S, Rübben H (2006) Do early injections of bulking agents following radical prostatectomy improve early continence? World J Urol 23:338–342CrossRef Schneider T, Sperling H, Rossi R Schmidt S, Rübben H (2006) Do early injections of bulking agents following radical prostatectomy improve early continence? World J Urol 23:338–342CrossRef
23.
go back to reference Dmochowski RR (2005) Tegress urethral implant phase III clinical experience uniqueness Rev Urol 7(suppl 1):S22–S26; presented at the ICS 2005, Paris Dmochowski RR (2005) Tegress urethral implant phase III clinical experience uniqueness Rev Urol 7(suppl 1):S22–S26; presented at the ICS 2005, Paris
24.
go back to reference Hurtado E, McCrery R, Appell R (2007) The safety and efficacy of ethylene vinyl alcohol copolymer as an intra-urethral bulking agent in women with intrinsic urethral deficiency. Int Urogynecol J 18:869–873CrossRef Hurtado E, McCrery R, Appell R (2007) The safety and efficacy of ethylene vinyl alcohol copolymer as an intra-urethral bulking agent in women with intrinsic urethral deficiency. Int Urogynecol J 18:869–873CrossRef
25.
go back to reference Ereksen EA, Sung VW, Rardin CR, Myers DC (2007) Ethylene vinyl alcohol copolymer erosions after use as urethral bulking agent. Obstet Gynecol 109:490–492 Ereksen EA, Sung VW, Rardin CR, Myers DC (2007) Ethylene vinyl alcohol copolymer erosions after use as urethral bulking agent. Obstet Gynecol 109:490–492
26.
go back to reference Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension free vaginal tape and colposuspension for primary urodynamic stress incontinence: two year follow up. Am J Obstet Gynecol 190(2):324–331PubMedCrossRef Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension free vaginal tape and colposuspension for primary urodynamic stress incontinence: two year follow up. Am J Obstet Gynecol 190(2):324–331PubMedCrossRef
27.
go back to reference Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7(2):81–85PubMedCrossRef Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anaesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7(2):81–85PubMedCrossRef
28.
go back to reference Reid FM, Smoth AR, Dunn G (2007) Which questionnaire? A psychometric evaluation of three patient-based outcome measures used to assess surgery for stress urinary incontinence. Neurourol Urodyn 26(1):123–128PubMedCrossRef Reid FM, Smoth AR, Dunn G (2007) Which questionnaire? A psychometric evaluation of three patient-based outcome measures used to assess surgery for stress urinary incontinence. Neurourol Urodyn 26(1):123–128PubMedCrossRef
Metadata
Title
Long-term results and patients’ satisfaction after transurethral ethylene vinyl alcohol (Tegress®) injections: a two-centre study
Authors
Annette Kuhn
Werner Stadlmayr
Amara Sohail
Ash Monga
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0479-5

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