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- Title
Urethral Bulkamid® injection after failed midurethral sling: a step-by-step video.
- Authors
Lukanović, David; Blaganje, Mija; Rhazi, Inas; Deval, Bruno
- Abstract
Introduction and hypothesis: Bulking agents are a minimally invasive treatment option for women with stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI). Recurrent SUI is a major challenge for most clinicians because there is little evidence in the literature on the best option after midurethral sling (MUS) failure. Methods: Bulkamid® (Contura International A/S), a urethral bulking agent, is a homogenous gel without particles, consisting of a polyacrylamide hydrogel that is nonbiodegradable. Results: In this video case report, we demonstrate the Bulkamid® injection procedure. This procedure can be carried out as an office-based procedure under local anesthesia, with no down time and only minor possible complications. Conclusions: We consider it a valid option for patients with recurrent or persistent SUI after failed MUS surgery.
- Subjects
SUBURETHRAL slings; URINARY stress incontinence; URINARY incontinence in women; URINARY incontinence; LOCAL anesthesia; URINATION disorders; MEDICAL slings; MEDICAL personnel
- Publication
International Urogynecology Journal, 2023, Vol 34, Issue 11, p2843
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-023-05608-z