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Urethral Bulkamid® injection after failed midurethral sling: a step-by-step video

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Abstract

Introduction and hypothesis

Bulking agents are a minimally invasive treatment option for women with stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI). Recurrent SUI is a major challenge for most clinicians because there is little evidence in the literature on the best option after midurethral sling (MUS) failure.

Methods

Bulkamid® (Contura International A/S), a urethral bulking agent, is a homogenous gel without particles, consisting of a polyacrylamide hydrogel that is nonbiodegradable.

Results

In this video case report, we demonstrate the Bulkamid® injection procedure. This procedure can be carried out as an office-based procedure under local anesthesia, with no down time and only minor possible complications.

Conclusions

We consider it a valid option for patients with recurrent or persistent SUI after failed MUS surgery.

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References

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Acknowledgements

Thanks to Thibaud Vernet, MD, for ultrasound images, Miha Brvar for help with the graphic design, and Donald Reindl for assistance with copyediting this manuscript.

Funding

This research received no external funding.

Author information

Author notes

  1. David Lukanović and Mija Blaganje contributed equally to this work

Authors and Affiliations

  1. Department of Gynecology, Division of Gynecology and Obstetrics, University Medical Center Ljubljana, Ljubljana, Slovenia

    David Lukanović & Mija Blaganje

  2. Department of Gynecology and Obstetrics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

    David Lukanović & Mija Blaganje

  3. Department of Functional Pelvic Surgery and Oncology, Geoffroy Saint-Hilaire, Ramsay, Générale de Santé, Paris, France

    David Lukanović, Mija Blaganje, Inas Rhazi & Bruno Deval

  4. Department of Gynecology and Obstetrics, Mohammed VI University Hospital Center, Oujda, Morocco

    Inas Rhazi

Authors
  1. David Lukanović
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  2. Mija Blaganje
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  3. Inas Rhazi
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  4. Bruno Deval
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Corresponding author

Correspondence to Mija Blaganje.

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Written informed consent was obtained from the patient for publication of this video article.

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All the authors completed the International Committee of Medical Journal Editors uniform disclosure form.

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Lukanović, D., Blaganje, M., Rhazi, I. et al. Urethral Bulkamid® injection after failed midurethral sling: a step-by-step video. Int Urogynecol J 34, 2843–2845 (2023). https://doi.org/10.1007/s00192-023-05608-z

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  • DOI: https://doi.org/10.1007/s00192-023-05608-z

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