Periurethral bulking agents for female stress urinary incontinence in Canada

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Bulking agents for urinary incontinence: what, when and where?

Stress urinary incontinence is a major problem at the field of female urology and urogynecology. Symptomatically, this is a losing of the urine on physical efforts, coughing or sneezing. Incompetency of the urethral closing mechanisms are causing urine loss. Mid-urethral synthetic slings are the gold standard of the treatment of the stress urinary incontinence. At the same time, different ureth...

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[Transobturator slings for female stress urinary incontinence].

INTRODUCTION Stress urinary incontinence affects about 20-40% of women. Treatment with transobturator mid-urethral slings is consensually accepted nowadays. The goal of this study was to evaluate the success rate and most frequent complications of surgical treatment with transobturator mid-urethral slings in stress urinary incontinence. MATERIAL AND METHODS This study evaluated 363 patients w...

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Recent advances in tape slings for female urinary stress incontinence.

Sling therapy is the enhanced surgical support of the urethra. In this article, the history of the use of slings for the surgical treatment of female urinary stress incontinence is reviewed, and the usual surgical routes for retropubic (transvaginal) or transobturator tape passage are described. The latest innovation in sling therapy is the use of minislings, which are short tape mesh implants ...

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Periurethral collagen for urinary incontinence after gender reassignment surgery.

We report on 2 patients, one female and one male transsexual; in both, Type III stress urinary incontinence developed after gender reassignment surgery. Both patients were treated by periurethral injection of gluteraldehyde cross-linked collagen resulting in a marked symptomatic improvement in association with a significant rise in abdominal leak point pressures. We believe these are the first ...

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Urethral bulking with polymethylmethacrylate microspheres for stress urinary incontinence: tissue persistence and safety studies in miniswine.

OBJECTIVES To evaluate the safety and persistence of injectable polymethylmethacrylate (PMMA) microspheres as a long-lasting urethral bulking agent in pigs. PMMA microspheres of 2 different diameters (40 and 125 μm) were tested to investigate the potential for migration and dislocation after injection. A similar product containing 40-μm PMMA microspheres has been used as an injectable wrinkle f...

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ژورنال

عنوان ژورنال: Canadian Urological Association Journal

سال: 2017

ISSN: 1920-1214,1911-6470

DOI: 10.5489/cuaj.4612