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Erschienen in: Current Bladder Dysfunction Reports 3/2017

16.08.2017 | Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Bulking Agents in the Management of Urinary Incontinence: Dead or Alive?

verfasst von: Wayne Kwun Wai Chan, Peggy Sau Kwan Chu

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

Although urethral bulking therapy has been available for more than 50 years, the ideal agent is still lacking and its result is considered inferior to surgery. In this review, we summarize the latest advances and evidences in the field of urethral bulking agents for treatment of stress urinary incontinence (SUI).

Recent Findings

The use of ultrasound evaluation post-urethral bulking provides insights for the optimal position and configuration of the bulking agent. Novel agents are available and show promising results in pre-clinical and clinical studies. More clinical data is available for currently available agent, e.g., Bulkamid. The field of cell-based urethral injection and regenerative medicine provides exciting future in treatment of SUI.

Summary

Urethral bulking therapy remains important in the treatment of SUI especially in high medical risk group or patients with recurrent SUI post-surgery. Further researches in novel bulking agents and regenerative medicine may further enhance its role and eliminate its current limitations.
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Metadaten
Titel
Bulking Agents in the Management of Urinary Incontinence: Dead or Alive?
verfasst von
Wayne Kwun Wai Chan
Peggy Sau Kwan Chu
Publikationsdatum
16.08.2017
Verlag
Springer US
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 3/2017
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0439-y

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