Treatment of Severe Urinary Incontinence following Radical Prostatectomy: Experience with Bioceram as a Bulking Agent
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Mohsen Ayati
,
Erfan Amini
,
Seyed Ali Momeni
,
Solmaz Ohadian Moghadam
,
Mohammad Reza Nowroozi
,
Reza Shahrokhi Damavand
Abstract
Background: To evaluate the efficacy of Bioceram injection in men with severe stress urinary incontinence following radical prostatectomy.Methods: A total of 18 patients underwent retrograde injection of Bioceram for severe stress urinary incontinence following radical prostatectomy. Evaluation by pad test, international consultation on the Incontinence Questionnaire - Short Form (ICIQ-SF) and American Urology Association Symptom Score - Quality of Life (AUASS-QOL) was performed before and after injection therapy. Patients were considered cured if they were using no pads or only one safety pad per day.Results: Of 18 patients, 14 had received postoperative external beam radiation therapy. Furthermore, 5 patients required transurethral incision due to simultaneous stricture of the urethrovesical anastomosis. The baseline daily pad count changed from a mean of 6.1± 0.8 to 5.3 ± 1.7 (p = 0.010). None of the patients were cured and only 3 patients showed signs of improvement following injection.Conclusion: In patients with severe urinary incontinence, treatment with bulking agent injection is associated with modest efficacy.Penson, D.F., et al., General quality of life 2 years following treatment for prostate cancer: what influences outcomes? Results from the prostate cancer outcomes study. J Clin Oncol, 2003. 21(6): p. 1147-54.
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| Files | ||
| Issue | Vol 11 No 2 (2019) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/bccr.v11i2.1656 | |
| Keywords | ||
| Bioceram Bulking Agent Radical Prostatectomy Urinary Incontinence | ||
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