The use of urethral bulking agents in the management of stress urinary incontinence TOG 2020 Flashcards

1
Q

How common is urinary incontinence UI in >20yea

A

25% (50% stress, 36% mixed, 11UUI)

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2
Q

When arebulking agents offered

A

Primary treatments failed, declined or not fit for surgery

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3
Q

What intramural bulking agents can be used

A

silicone, carbon-coated zirconium beads or hyaluronic acid/dextran copolymer

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4
Q

What is in Bulkamid?

A

Polyacrylaminde hydrogel

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5
Q

Success rates of Bulkamid at 1, 6 and 12 months

A

1 87%
6 71%
12 67%

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6
Q

How often repeat injection needed

A

12-35%

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7
Q

Complications of bulking agents

A

Complication rate 18%
Infection 5%
Pain 4%
Urinary retention 3.5%

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8
Q

How many infections sites

A

3

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9
Q

When should FU occur after bulking agent

A

3-6 months

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