Bladder Neck Injection of a Polydimethylsiloxane-Bulking Agent Under Pneumovesicum for Treatment of Children with Urinary Incontinence: Report of 3 Cases

2013 ◽  
Vol 23 (3) ◽  
pp. 297-300
Author(s):  
Dong Hoon Lee ◽  
Cheol Young Oh ◽  
Ho Sung Jang ◽  
Chang Hee Hong
Keyword(s):  
Urinary Incontinence ◽  
Bladder Neck ◽  
Bulking Agent

scholarly journals Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Reza Khorramirouz ◽  
Seyedeh Sanam Ladi Seyedian ◽  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Urinary Incontinence ◽  
Bladder Neck ◽  
Wide Spectrum ◽  
Bladder Exstrophy ◽  
Bulking Agent ◽  
Rare Entity ◽  
Bladder Duplication ◽  
Wide Variability ◽  
Pubic Diastasis ◽  
Proximal Urethra

Bladder duplication is a rare entity in children. The term encompasses a wide spectrum of anomalies from isolated bladder duplication in coronal or sagittal planes to duplicated bladder exstrophy and associated musculoskeletal and visceral anomalies. Given this wide variability, the treatment of these patients is not standardized. We hereby present a female patient with chief complaint of long-standing urinary incontinence who had complete bladder and urethral duplication and pubic diastasis. The patient was treated with bulking agent injection at the incompetent bladder neck and proximal urethra with resolution of incontinence, obviating the need for extensive surgeries.

Endoscopic transvaginal bladder neck suspension for stress urinary incontinence

1994 ◽  
Vol 26 (5) ◽  
pp. 513-518 ◽  
Author(s):  
A. Erol ◽  
S. Y. Sargin ◽  
I. Dalva ◽  
Z. E. Günes ◽  
E. Akbay ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bladder Neck ◽  
Bladder Neck Suspension

scholarly journals Injectable Bulking Agent to Treat Postprostatectomy Urinary Incontinence: A Safety and Effectiveness Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Janneke I. M. van Uhm ◽  
Marloes Vermeer ◽  
Henk W. Elzevier ◽  
Joop W. Noordzij ◽  
Evert L. Koldewijn ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pilot Study ◽  
Radical Prostatectomy ◽  
Treatment Option ◽  
Short Form ◽  
Treatment Success ◽  
Bulking Agent ◽  
International Consultation ◽  
Weight Test ◽  
Urine Loss

Objectives. To evaluate the safety and effectiveness of the injectable bulking agent Opsys® (Promedon, Cordoba, Argentina) for treating minimal postprostatectomy stress urinary incontinence (SUI). Patients and Methods. Single-centre, pilot study on ten male patients with SUI, < 30 g urine loss/ 24 h, more than 1 year after radical prostatectomy. Patients were treated by endoscopic transurethral injections of bulking agent in the presphincteric zone of the urethral submucosa. The results were evaluated using a pad weight test to quantify the differences in urine loss at 1, 3, and 6 months after intervention. Subsequently, the results of treatment were also evaluated by International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory Short Form (UDI-6-SF), and the Patient Global Impression of Improvement (PGI-I) at 1, 3, and 6 months after intervention. Results. The primary outcome was the absolute result of the 24-hour pad weight test after treatment. Treatment success was defined as <3 g urine loss/24 h, improvement as ≥50% decrease in urine loss/ 24h, failure as <50% decrease in urine loss/24 h, or worsening of urine loss. Success was demonstrated in one, improvement in one, and failure in eight patients one month after treatment. One patient improved and 9 failed 3 and 6 months after treatment. The median 24-hour pad weight test was higher at all three moments of follow-up (1, 3, and 6 months after treatment). The median 24-hour pad weight test was before treatment 17.3g (6.4-20.9) and 1, 3, and 6 months after treatment, respectively, 40.3g (5.9-130.6) p= 0.038, 38.3g (18.3-202.1) p= 0.014, 55.0g (16.5-314.6) p= 0.028. The ICIQ-SF was significantly higher at 3 and 6 months, respectively 15.0 (12.0-18.5) p= 0.007 and 16.0 (12.5-17.5) p=0.012 versus 10.0 (9.0-12.0) before injection. No significant differences were found between IIQ-7, UDI-6-SF, and PGI-I before and after injection. Complications occurred in four patients: two patients reported spontaneously resolved haematuria and two patients reported urinary frequency. All complications were classified as Clavien–Dindo 1. Conclusion. Injection therapy with Opsys® bulking agent is not an effective treatment option for male SUI after radical prostatectomy. It is not a safe treatment option, due to worsening urine loss after treatment.

scholarly journals Histopathology of intersymphyseal band and its correlation with continence in bladder exstrophy repair

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bharati K. Kulkarni ◽  
Nandita Saxena ◽  
Shyam S. Borwankar ◽  
Hemant N. Lahoti ◽  
Pooja Multani ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Urinary Incontinence ◽  
Surgical Management ◽  
Bladder Neck ◽  
Fibrous Tissue ◽  
Bladder Exstrophy ◽  
Significant Percentage

Abstract Background Urinary incontinence is a major problem in operated exstrophy patients. Most of the repairs described in literature stress on the importance of dividing the intersymphyseal band (ISB) to place the bladder in the pelvis. But the origin of this band and its importance has hardly been discussed in literature. The purpose of this study is to establish the nature of tissue the ISB is composed of. This can be used to determine its role in the surgical management of exstrophy epispadias complex (EEC) patients. Results Thirty out of 33 operated patients demonstrated smooth muscle with/without fibrous tissue in the sections taken through the ISB. A significant percentage of patients (χ2= 38.319, p < 0.0001) in whom this band was reconstructed around the bladder neck gradually became continent/partly continent with an increase in the dry interval with time. Conclusion It can be a considerable factor to pay attention to the step of wrapping the ISB around the bladder neck during EEC repair. This serves to function as the smooth muscle of the bladder neck as proven histologically in our operated patients. It may have a role to support future continence in these patients.

Robot-assisted AMS-800 Artificial Urinary Sphincter Bladder Neck Implantation in Female Patients with Stress Urinary Incontinence

2019 ◽  
Vol 75 (1) ◽  
pp. 169-175 ◽  
Author(s):  
Benoit Peyronnet ◽  
Grégoire Capon ◽  
Olivier Belas ◽  
Andrea Manunta ◽  
Clément Allenet ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bladder Neck ◽  
Artificial Urinary Sphincter ◽  
Robot Assisted ◽  
Female Patients ◽  
Urinary Sphincter
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