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Periurethral abscess following polyacrylamide hydrogel (Bulkamid) for stress urinary incontinence.

Abstract：

:Bulkamid is a periurethral bulking agent used to treat stress urinary incontinence (SUI). Manufacturers describe it as nontoxic, nonbiodegradable and biocompatible. Periurethral abscesses are one of the known complications of bulking agents. We present the first reported case of periurethral abscess following Bulkamid injection. The woman had previously had a transobturator tape (TOT) and total vaginal mesh repair. At 6 weeks after injection of the bulking agent, she reported 100 % cure of her SUI. Transperineal ultrasound was used to diagnose and monitor an abscess that developed anterior and lateral to the urethra and separate from the TOT. Magnetic resonance imaging was helpful in delineating the extent of the abscess into the retropubic space but was not able to identify the urethra or the TOT. Surgical drainage of the abscess was performed vaginally, resulting in successful resolution of pain but recurrence of incontinence.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Gopinath D,Smith AR,Reid FM

doi

10.1007/s00192-012-1768-1

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1645-8

issue

11

eissn

0937-3462

issn

1433-3023

journal_volume

23

pub_type

杂志文章

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