Linked Life Data

18414766

Source:http://linkedlifedata.com/resource/pubmed/id/18414766

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2008-8-7
pubmed:abstractText
A 67-year-old woman who had failed two prior anti-incontinence surgeries presented with stress urinary incontinence and intrinsic sphincteric deficiency. Calcium hydroxylapatite (Coaptite(R)) was injected cystoscopically into the bladder neck and proximal urethra and resolved her incontinence. Seven months later, she presented with difficulty in voiding and a urethral mass. Physical examination revealed a large prolapse of the urethral mucosa obstructing the external urethral meatus. Surgical exploration revealed local migration of calcium hydroxylapatite particles from the site of injection (bladder neck and proximal urethra) to the distal urethra. The prolapsed urethral mucosa was incised and marsupialized. Improper injection techniques likely contributed to urethral prolapse in this complication. Meticulous attention to injection techniques is the key to treatment success of urethral bulking agents, particularly in patients who have a scarred/fixed urethra or have multiple urethral/vaginal surgeries.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:author
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1315-7
pubmed:dateRevised
2011-8-18
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
Large urethral prolapse formation after calcium hydroxylapatite (Coaptite) injection.
pubmed:affiliation
Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, 4960 Children's Place, St. Louis, MO 63110, USA. laih@wudosis.wustl.edu
pubmed:publicationType
Journal Article, Case Reports