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Stress Incontinence Procedures

Monday, May 11, 2015

Additional Stress Incontinence Procedures

URETHRAL BULKING:
A nonsurgical option performed in the office under a local anesthetic, which as a 60-70% success rate but tends to have a higher failure rate over time. The local anesthetic is injected into the urethra, then a scope is placed and a syringe used to deliver a gel beneath the urethral mucosa to tighten it up. There is little to no “downtime”. Risks include infection, bleeding, failure to achieve continence, and urinary retention which is usually short lived for no more than one to two days. It may be necessary to place an indwelling catheter overnight in a few cases. May be used to augment sling in some instances.
REFERENCES:
www.AUGS.org
www.voicesforpfd.org
www.mayoclinic.com
www.TheCochraneLibrary.com
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