Related Experiment Video
Updated: Jun 19, 2025
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
908
Urethral Bulking
Nicole Fleischmann1, Bilal Chughtai2, Andre Plair3
1From the White Plains Hospital/Montefiore System, White Plains, NY.
Urogynecology (Philadelphia, Pa.)
|July 25, 2024
Summary
Urethral bulking agents (UBAs) offer a treatment option for stress urinary incontinence (SUI). While effective for some, patients need counseling on risks and limited long-term data for these SUI treatments.
Area of Science:
- Urology
- Female Pelvic Medicine
Background:
- Stress urinary incontinence (SUI) significantly impacts quality of life.
- Urethral bulking agents (UBAs) represent a minimally invasive treatment option for SUI.
Purpose of the Study:
- To provide clinicians with evidence-based guidance on the use of urethral bulking agents (UBAs) for treating stress urinary incontinence (SUI).
Main Methods:
- A comprehensive literature search was conducted for studies on urethral bulking agents published from 1960 to 2022.
- Data extraction focused on study type, participant demographics, bulking agent, efficacy, and complications.
Main Results:
- 1,594 articles were identified, with 395 studies screened after limiting to specific study types.
- Polyacrylamide hydrogel showed marginally better safety and durability compared to other agents.
Conclusions:
- Urethral bulking agents are indicated for demonstrable SUI and can be considered for initial management or persistent/recurrent SUI post-sling.
- Patients require counseling regarding risks, limited long-term efficacy, potential repeat procedures, and future implications.
- Prioritizing UBAs over surgery may be suitable for specific patient groups.
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