Female outlet obstruction after repeated collagen injections

Bernier, Pablo A.; Zimmern, Philippe E.; Saboorian, M. Hossein; Chassagne, S.

doi:10.1016/s0090-4295(97)00316-6

Cited by 25 publications

(7 citation statements)

References 10 publications

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“…Excessive bulking agent : Short‐term BOO after injection with a bulking agent is quite common, and symptoms usually resolve within hours or days. However, sometimes there is a long‐lasting BOO after injection with large amounts of a bulking agent, usually at more than one session [15], or after injection with too much of a permanent material. In such cases, transurethral resection of the obstructing material will usually alleviate the BOO.…”

Section: Anatomical Causes Of Boo and Treatmentmentioning

confidence: 99%

The treatment of female bladder outlet obstruction

Goldman

2006

BJU International

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Section: Anatomical Causes Of Boo and Treatmentmentioning

confidence: 99%

The treatment of female bladder outlet obstruction

Goldman

2006

BJU International

Self Cite

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“…Temporary BOO after injection is common, and BOO usually resolved within hours to days . Injection with large amounts of a bulking agent or permanent material, or more than one session of injection, may result in persistent obstruction . In such cases transurethral resection of the excessive bulking material will usually ameliorate the obstruction.…”

Section: Managementmentioning

confidence: 99%

Diagnosis and Management of Bladder Outlet Obstruction in Women

Lin

Kuo

Yang

2015

LUTS

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Bladder outlet obstruction (BOO) should be considered when a woman complains of voiding difficulty, abdominal straining to void, or refractory storage symptoms. Diagnosis of female BOO is not straightforward and usually requires invasive (video)urodyanmic study. A diagnostic algorithm is recommended for making optimal diagnosis. Female BOO can be classified as having anatomical and functional origins, and each contains several sub-classifications. Literatures published between 1988 and 2013 were reviewed and summarized for the diagnosis and therapy in each subtype of female BOO.

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“…This may be a short-term effect that should wear off after a couple of days. Occasionally, and generally after several treatments or administration of large volumes of injectant, patients can have symptoms which persist [ 39 ]. Diagnosis is made mainly on the history of the onset of symptoms and can be confi rmed on cystoscopy.…”

Section: Boo In Urinary Incontinence Surgerymentioning

confidence: 99%

Outlet Obstruction in Women

Renninson

Mevcha

Parsons

2014

Bladder Dysfunction in the Adult

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Female voiding requires co-ordinated bladder contraction and outlet relaxation. Failure of the outlet to accommodate urine fl ow can occur in various circumstances in women. This chapter describes the diverse nature of the problem and its management, along with some of the limitations in the evidence base which make this a challenging clinical problem. Of these, one of the most important is the recognition that impairment of bladder contractility is common in older women [ 1 ] and this could cause overdiagnosis of bladder outlet obstruction (BOO). BOO may be asymptomatic, cause voiding LUTS, or complete obstruction resulting in inability to void (acute urinary retention-which is usually painful emergency). However, assessing the bladder contractility is diffi cult in women, and this hinders decisionmaking regarding diagnosis of BOO. Until the ability to agree defi nitions, and subsequently approaches to diagnosis, management of BOO in women will remain a clinical challenge.Retention in women results from a diverse set of conditions, which makes research into its epidemiology diffi cult. Most studies are small case series, or case reports with unusual causes. Part of the diffi culty in estimating prevalence rates of obstruction relates to the fact that unlike for men, there are no universally accepted or standardised criteria for diagnosing the condition in women. Voiding symptoms have been shown to have a poor predictive value for diagnosing female voiding dysfunction, rarely exist in isolation and often occur in association with storagerelated symptoms [ 2 -4 ]. The true prevalence of BOO in women is unknown, but estimates from large retrospective studies range from 3 to 8 % [ 3 -6 ]. A Scandinavian study revealed an incidence of AUR in women of seven per 100,000 population per year [ 7 ]. Defi ning Urinary ObstructionBOO can be diagnosed on the basis of urodynamic studies, as in men (see Chap. 4 ). BOO has been defi ned as detrusor pressure of 60 cm of water (cm H 2 O) or more, with a peak urine fl ow rate of less than 15 mL/s, though this was derived from measurements in a small number of women [ 8 ]. Another study derived criteria from evaluation of the videourodynamic studies of 261 women for non-neurogenic voiding function and defined BOO as radiographic evidence of obstruction between the bladder neck and the distal urethra in the presence of a

show abstract

Female outlet obstruction after repeated collagen injections

Cited by 25 publications

References 10 publications

The treatment of female bladder outlet obstruction

The treatment of female bladder outlet obstruction

Diagnosis and Management of Bladder Outlet Obstruction in Women

Outlet Obstruction in Women

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