Long-term complications of bulking agents in the treatment of stress urinary incontinence: Results of a national survey

IF 0.2 Q4 UROLOGY & NEPHROLOGY
Sana Patel, H. Lazarowicz, R. Hamm
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Abstract

Bulking agents have been used for decades as an alternative treatment for patients with stress urinary incontinence who are not appropriate for surgery. Despite this their long-term complications are poorly documented and can be misdiagnosed. This paper presents a literature review and the results of a national survey of members of the Section of Female, Neurological and Urodynamic Urology (FNUU) of the British Association of Urological Surgeons (BAUS) identifying the common long-term complications of widely used bulking agents in clinical practice. Following a comprehensive literature review an electronic survey was sent to members of the BAUS Section of FNUU. Data included hospital trust, use of urethral bulking agents (including type), the approximate number of procedures performed and whether any long-term complications had been observed and managed in their practice. Long-term complications were defined as those arising more than 12 months after treatment. The literature review revealed multiple case reports of complications secondary to bulking agent injection but no high-level evidence regarding frequency or severity. The survey revealed complications including granulomas, erosions, abscesses and misdiagnoses of urethral diverticula and calculi formation. 88% of urologists who responded to the survey had performed a urethral bulking agent injection and 51% of urologists had observed or treated a long-term complication, some many decades after injection. Patients should be made aware of possible long-term complications of what appears to be a minimally invasive procedure in order for them to make an informed choice about treatment options. Not applicable
填充剂治疗压力性尿失禁的长期并发症:一项全国性调查结果
膨胀剂作为不适合手术的压力性尿失禁患者的替代治疗已经使用了几十年。尽管如此,他们的长期并发症记录很少,而且可能被误诊。本文对英国泌尿外科医师协会(BAUS)女性、神经学和泌尿动力学泌尿科(FNUU)成员进行的一项全国性调查进行了文献综述和结果,确定了临床实践中广泛使用的填充剂的常见长期并发症。在进行了全面的文献审查之后,一份电子调查被发送给FNUU BAUS科的成员。数据包括医院信任度、尿道填充剂的使用(包括类型)、所进行手术的大致次数以及在实践中是否观察到和处理过任何长期并发症。长期并发症定义为治疗后超过12个月出现的并发症。文献回顾显示多例报告的并发症继发于膨胀剂注射,但没有关于频率或严重程度的高水平证据。并发症包括肉芽肿、糜烂、脓肿、尿道憩室误诊及结石形成。88%接受调查的泌尿科医生进行过尿道填充剂注射,51%的泌尿科医生观察或治疗过长期并发症,有些在注射后几十年。应该让患者了解微创手术可能出现的长期并发症,以便他们对治疗方案做出明智的选择。不适用
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来源期刊
Journal of Clinical Urology
Journal of Clinical Urology UROLOGY & NEPHROLOGY-
CiteScore
0.60
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0.00%
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