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

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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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Abbreviations

I-QOL:

Incontinence Quality of Life

MUS:

mid-urethral sling

SUI:

stress urinary incontinence

TOT:

tension-free transobturator tape

TUI:

transurethral injection

TVT:

tension-free transvaginal tape

VAS:

visual analogue scale

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Authors and Affiliations

  1. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul, 135-710, South Korea

    Ha Na Lee, Young-Suk Lee, Jae Yong Jeong & Kyu-Sung Lee

  2. Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

    Ji-Yeon Han & Myung-Soo Choo

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  1. Ha Na Lee
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  2. Young-Suk Lee
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  3. Ji-Yeon Han
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  5. Myung-Soo Choo
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  6. Kyu-Sung Lee
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Correspondence to Kyu-Sung Lee.

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Lee, H.N., Lee, YS., Han, JY. et al. Transurethral injection of bulking agent for treatment of failed mid-urethral sling procedures. Int Urogynecol J 21, 1479–1483 (2010). https://doi.org/10.1007/s00192-010-1224-z

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  • DOI: https://doi.org/10.1007/s00192-010-1224-z

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