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International Urogynecology Journal

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01-11-2017 | Original Article

Bulkamid (PAHG) in mixed urinary incontinence: What is the outcome?

Authors: Stefan Mohr, Christine Marthaler, Sara Imboden, Ash Monga, Michel D. Mueller, Annette Kuhn

Published in: International Urogynecology Journal | Issue 11/2017

Abstract

Introduction and hypothesis

Mixed urinary incontinence (MUI), defined as mixed symptoms of stress urinary incontinence (SUI) and overactive bladder (OAB), is a difficult entity if conservative treatment has failed. Cure rates are low compared with SUI, particularly the OAB component, may deteriorate after sling insertion. Bulking agents pose an appealing alternative for the treatment of MUI. They have shown beneficial effect in small case studies, but larger series are lacking. The aim of this prospective study was an analysis of treatment efficacy and safety profile of the bulking agent, Bulkamid, in female patients with MUI.

Methods

One hundred fifty-four women with MUI symptoms (components of SUI/OAB within the limits of 60–40% either way) received bulking therapy with polyacrylamide hydrogel (Bulkamid). Patients were followed-up 3 months postoperatively. Primary outcome was the domain Incontinence impact on the King’s Health Questionnaire (KHQ). Secondary outcomes were the other KHQ domains, visual analog scale (VAS), and International Continence Society (ICS) standardized pad weight test as objective measurement of incontinence.

Results

Statistically significant improvements were found for all KHQ domains, pad weight test, and the visual analog scale (VAS) before and after bulking. Overall complication rate was 13%.

Conclusions

This study has shown improvement in MUI after bulking therapy according to both subjective and objective outcomes. We can advocate bulking therapy for treating MUI, as it is simple and safe and shows both objective and subjective improvement and relief. Long-term results (up to 1 year) are awaited.

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Title: Bulkamid (PAHG) in mixed urinary incontinence: What is the outcome?
Authors: Stefan Mohr
Christine Marthaler
Sara Imboden
Ash Monga
Michel D. Mueller
Annette Kuhn
Publication date: 01-11-2017
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 11/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-017-3332-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Bulkamid (PAHG) in mixed urinary incontinence: What is the outcome?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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