Skip to main content
Top
Published in: International Urogynecology Journal 2/2009

Open Access 01-02-2009 | Original Article

Effects of Macroplastique® Implantation System for stress urinary incontinence and urethral hypermobility in women

Authors: Ph. H. ter Meulen, L. C. M. Berghmans, F. H. M. Nieman, Ph. E. V. A. van Kerrebroeck

Published in: International Urogynecology Journal | Issue 2/2009

Login to get access

Abstract

A study was carried out to evaluate efficacy of Macroplastique® (MPQ) Implantation System (MIS) in women with urodynamic stress urinary incontinence (SUI) and urethral hypermobility after an unsuccessful conservative treatment. This is a prospective randomized controlled trial in women without previous incontinence surgery. Twenty-four women received MPQ. Twenty-one controls underwent a pelvic floor muscle exercises home program. Follow-up was at 3 months and the MPQ group also at 12 months. At 3 months, pad usage decreased significantly more in the MPQ group than in the control group (p = 0.015). According to physician and patient self-assessment, respectively, 71% and 63% women in the MPQ group were considered cured or markedly improved. This was significantly higher compared to controls. There was a significant higher increase of Incontinence Quality-of-Life questionnaire score in the MPQ group compared to controls (p = 0.017). Improvements in MPQ group at 3 months are sustained to 12 months. Adverse events were mild and transient. MIS is an acceptable option for women with SUI and urethral hypermobility.
Literature
1.
go back to reference Shah J (1997) Injectables and stress urinary incontinence. Urol News 2:7–11 Shah J (1997) Injectables and stress urinary incontinence. Urol News 2:7–11
2.
go back to reference Chapple CR, Wein AJ, Brubaker L, Dmochowski R, Espuna Pons M, Haab F, Hill Sl (2005) Stress incontinence injection therapy: what is the best for our patients? Eur Urol 48:552–565PubMedCrossRef Chapple CR, Wein AJ, Brubaker L, Dmochowski R, Espuna Pons M, Haab F, Hill Sl (2005) Stress incontinence injection therapy: what is the best for our patients? Eur Urol 48:552–565PubMedCrossRef
3.
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 Endourol 20(12):82–86CrossRef Tamanini JT, D’Ancona CA, Netto NR (2006) Macroplastique implantation system for female stress urinary incontinence: long term follow-up. J Endourol 20(12):82–86CrossRef
4.
go back to reference Herschorn S, Radomski SB, Steele DJ (1992) Early experience with intraurethral collagen injections for urinary incontinence. J Urol 148:1797–1800PubMed Herschorn S, Radomski SB, Steele DJ (1992) Early experience with intraurethral collagen injections for urinary incontinence. J Urol 148:1797–1800PubMed
5.
go back to reference Bent AE, Foote JE, Siegel S, Faerber G, Chao R, Gormley EA (2001) Collagen implant in treating stress urinary incontinence in women with urethral hypermobility. J Urol 164(4):1354–1357 Bent AE, Foote JE, Siegel S, Faerber G, Chao R, Gormley EA (2001) Collagen implant in treating stress urinary incontinence in women with urethral hypermobility. J Urol 164(4):1354–1357
6.
go back to reference Steele AC, Kohli N, Karram MM (2000) Periurethral collagen injection for stress incontinence with and without urethral hypermobility. Obstet Gynecol 95:327–331PubMedCrossRef Steele AC, Kohli N, Karram MM (2000) Periurethral collagen injection for stress incontinence with and without urethral hypermobility. Obstet Gynecol 95:327–331PubMedCrossRef
7.
go back to reference Harriss DR, Iacovou JW, Lemberger RJ (1996) Periurethral silicone microimplants (Macroplastique) for the treatment of genuine stress incontinence. Br J Urol 78:722–728PubMed Harriss DR, Iacovou JW, Lemberger RJ (1996) Periurethral silicone microimplants (Macroplastique) for the treatment of genuine stress incontinence. Br J Urol 78:722–728PubMed
8.
go back to reference Koelbl H, Saz V, Doerfler D, Haeusler G, Sam Ch, Hanzal E (1998) Transurethral injection of silicone microimplants for intrinsic urethral sphincter deficiency. Obstet Gynecol 92:332–336PubMedCrossRef Koelbl H, Saz V, Doerfler D, Haeusler G, Sam Ch, Hanzal E (1998) Transurethral injection of silicone microimplants for intrinsic urethral sphincter deficiency. Obstet Gynecol 92:332–336PubMedCrossRef
9.
go back to reference ter Meulen PhH, Berghmans LCM, van Kerrebroeck PhEVA (2003) Systematic review: efficacy of silicone microimplants (Macroplastique®) therapy for stress urinary incontinence in adult women. Eur Urol 44:573–582PubMedCrossRef ter Meulen PhH, Berghmans LCM, van Kerrebroeck PhEVA (2003) Systematic review: efficacy of silicone microimplants (Macroplastique®) therapy for stress urinary incontinence in adult women. Eur Urol 44:573–582PubMedCrossRef
10.
go back to reference Solomon LZ, Birch BR, Cooper AJ, Davies CL, Holmes SAV (2000) Nonhomologous bioinjectable materials in urology: ‘size matters’? BJU Int 85:641–645PubMedCrossRef Solomon LZ, Birch BR, Cooper AJ, Davies CL, Holmes SAV (2000) Nonhomologous bioinjectable materials in urology: ‘size matters’? BJU Int 85:641–645PubMedCrossRef
11.
go back to reference Allen O (1992) Response to subdermal implantation of textured microimplants in humans. Aesth Plast Surg 16:227–230CrossRef Allen O (1992) Response to subdermal implantation of textured microimplants in humans. Aesth Plast Surg 16:227–230CrossRef
12.
go back to reference Smith DP, Kaplan WE, Oyasu R (1994) Evaluation of polydimethylsiloxane as an alternative in the endoscopic treatment of vesicoureteral reflux. J Urol 152:1221–1224PubMed Smith DP, Kaplan WE, Oyasu R (1994) Evaluation of polydimethylsiloxane as an alternative in the endoscopic treatment of vesicoureteral reflux. J Urol 152:1221–1224PubMed
13.
go back to reference Henly DR, Barrett DM, Weiland TL, O’Connor MK, Malizia AA, Wein AJ (1995) Particulate silicone for use in periurethral injections: local tissue effects and search for migration. J Urol 153:2039–2043PubMedCrossRef Henly DR, Barrett DM, Weiland TL, O’Connor MK, Malizia AA, Wein AJ (1995) Particulate silicone for use in periurethral injections: local tissue effects and search for migration. J Urol 153:2039–2043PubMedCrossRef
14.
go back to reference Radley SC, Chapple CR, Lee JA (2000) Transurethral implantation of silicone polymer for stress incontinence: evaluation of a porcine model and mechanism of action in vivo. BJU Int 85:646–650PubMedCrossRef Radley SC, Chapple CR, Lee JA (2000) Transurethral implantation of silicone polymer for stress incontinence: evaluation of a porcine model and mechanism of action in vivo. BJU Int 85:646–650PubMedCrossRef
15.
go back to reference World Medical Association (2002) Declaration of Helsinki (Document 17.C), World Medical Association, Note on Paragraph 29, 6.10.2002 World Medical Association (2002) Declaration of Helsinki (Document 17.C), World Medical Association, Note on Paragraph 29, 6.10.2002
16.
go back to reference Stamey TA (1979) Urinary incontinence in the female. Campbell’s urology, fourth edn. Saunders, New York, pp 2272–2293 Stamey TA (1979) Urinary incontinence in the female. Campbell’s urology, fourth edn. Saunders, New York, pp 2272–2293
17.
go back to reference Abrams P, Blaivas JG, Stanton SL, Anderson JT (1988) The standardization of terminology of lower urinary tract function. The International Continence Society Committee on Standardization of Terminology. Scand J Urol Nephrol 114(suppl):5–19 Abrams P, Blaivas JG, Stanton SL, Anderson JT (1988) The standardization of terminology of lower urinary tract function. The International Continence Society Committee on Standardization of Terminology. Scand J Urol Nephrol 114(suppl):5–19
18.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, Delancey JOL, Klarskov P et al (1996) The standardization of terminology of female organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, Delancey JOL, Klarskov P et al (1996) The standardization of terminology of female organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
19.
go back to reference Patrick DL, Martin ML, Buschnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology 53:71–76PubMedCrossRef Patrick DL, Martin ML, Buschnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology 53:71–76PubMedCrossRef
20.
go back to reference Crystle CD, Charme LS, Copeland WE (1971) Q-tip test in stress urinary incontinence. Obstet Gynecol 38:313–315PubMed Crystle CD, Charme LS, Copeland WE (1971) Q-tip test in stress urinary incontinence. Obstet Gynecol 38:313–315PubMed
21.
go back to reference Cummings JM (1997) Leak point pressures in female stress urinary incontinence. Int Urogynaecol J 8:153–155CrossRef Cummings JM (1997) Leak point pressures in female stress urinary incontinence. Int Urogynaecol J 8:153–155CrossRef
22.
go back to reference Henalla SM, Hall V, Duckett JRA, Link C, Usman F, Tromans PM et al (2000) A multicentre evaluation of a new surgical technique for urethral bulking in the treatment of genuine stress incontinence. Br J Obstet Gynecol 107:1035–1039 Henalla SM, Hall V, Duckett JRA, Link C, Usman F, Tromans PM et al (2000) A multicentre evaluation of a new surgical technique for urethral bulking in the treatment of genuine stress incontinence. Br J Obstet Gynecol 107:1035–1039
23.
go back to reference SPSS (2006) SPSS 15.0 for Windows. SPSS, Chicago SPSS (2006) SPSS 15.0 for Windows. SPSS, Chicago
24.
go back to reference Jorgensen L, Steen A, Bagger PV, Fisher-Rasmussen W (1985) The one-hour pad-weighing test for assessment of the result of female incontinence surgery. In: Proceedings of the 15th Annual Meeting of the International Incontinence Society; London, pp 392–393 Jorgensen L, Steen A, Bagger PV, Fisher-Rasmussen W (1985) The one-hour pad-weighing test for assessment of the result of female incontinence surgery. In: Proceedings of the 15th Annual Meeting of the International Incontinence Society; London, pp 392–393
25.
go back to reference Lose G, Gammelgaard J, Jorgensen TJ (1986) The one-hour-hour pad weighing test: reproducibility and the correlation between the best result, the start volume in the bladder and the diuresis. Neurourol Urodyn 5:17–21CrossRef Lose G, Gammelgaard J, Jorgensen TJ (1986) The one-hour-hour pad weighing test: reproducibility and the correlation between the best result, the start volume in the bladder and the diuresis. Neurourol Urodyn 5:17–21CrossRef
26.
go back to reference Lose G, Jorgensen L, Thunedborg P (1989) 24-hour home pad weighing test versus 1-hour ward test in the assessment of mild stress incontinence. Acta Obstet Gynecol Scand 68:211–215PubMedCrossRef Lose G, Jorgensen L, Thunedborg P (1989) 24-hour home pad weighing test versus 1-hour ward test in the assessment of mild stress incontinence. Acta Obstet Gynecol Scand 68:211–215PubMedCrossRef
27.
go back to reference Simons AM, Yoong WC, Buckland S, Moore KH (2001) Inadequate repeatability of the one-hour pad test: the need for a new incontinence outcome measure. Br J Obstet Gynecol 108:315–319CrossRef Simons AM, Yoong WC, Buckland S, Moore KH (2001) Inadequate repeatability of the one-hour pad test: the need for a new incontinence outcome measure. Br J Obstet Gynecol 108:315–319CrossRef
28.
go back to reference ter Meulen PhH, van Kerrebroeck PhEVA (2004) Injection therapy for stress urinary incontinence in adult women. Expert Rev Med Devices 1:89–97CrossRef ter Meulen PhH, van Kerrebroeck PhEVA (2004) Injection therapy for stress urinary incontinence in adult women. Expert Rev Med Devices 1:89–97CrossRef
29.
go back to reference Costantini E, Lazzeri M, Porena M (2007) Managing complications after midurethral sling for stress urinary incontinence. Eur Urol Update Series 5:232–240 Costantini E, Lazzeri M, Porena M (2007) Managing complications after midurethral sling for stress urinary incontinence. Eur Urol Update Series 5:232–240
30.
go back to reference Robinson D, Anders K, Cardozo L, Bidmead J, Dixon A, Balmforth J et al (2003) What do women want? Interpretation of the concept of cure. J Pelvic Med Surg 9:273–277CrossRef Robinson D, Anders K, Cardozo L, Bidmead J, Dixon A, Balmforth J et al (2003) What do women want? Interpretation of the concept of cure. J Pelvic Med Surg 9:273–277CrossRef
Metadata
Title
Effects of Macroplastique® Implantation System for stress urinary incontinence and urethral hypermobility in women
Authors
Ph. H. ter Meulen
L. C. M. Berghmans
F. H. M. Nieman
Ph. E. V. A. van Kerrebroeck
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0741-5

Other articles of this Issue 2/2009

International Urogynecology Journal 2/2009 Go to the issue