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Posted by on Aug 28, 2019 in Urinary incontinence | 0 comments

In a nutshell

This study reviewed the use of bulking treatment for stress urinary incontinence (SUI) in male patients. This study concluded that these agents improve SUI, at least in the short-term.

Some background

Urinary incontinence is the unintentional loss of urine. Stress urinary incontinence (SUI) happens during physical movement or activity such as coughing, sneezing, running or heavy lifting. These activities put pressure (stress) on the bladder, causing it to leak. Bulking agents are one treatment option. A bulking agent is a material that is injected around the urethra; this narrows the urethra so leakage is less likely to occur.

It is unclear how effective this treatment is for SUI in male patients. 

Methods & findings

This study reviewed 8 other studies on various bulking agents. The bulking treatments used were MacroplastiqueOpsys, Durasphere, and Urolastic

Dry rates ranged between 0% and 83% between the studies. With Macroplastique, 48% of patients did not need any pads at 48 months. Patients who did not have an improvement after a first injection were offered repeat injections.

The bottom line

This study concluded that bulking agents may offer improvement in SUI at least in the short-term.

The fine print

Some of the patients in this study were not followed up for a long time. Also, most studies included a very small number of participants. Further studies are needed with larger populations and longer follow-up.

Published By :

Neurourology and urodynamics

Date :

Jul 18, 2019

Original Title :

Bulking for stress urinary incontinence in men: A systematic review.

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