Minimally invasive therapies include periurethral bulking
agents (bladder neck injections) and sling plication.
Transvaginal tension-free tape procedures have become so popular for treating stress urinary incontinence that some physicians have forgotten about a nonsurgical alternative, periurethral bulking, that works "extremely well" for properly selected patients, Dr.
But for patients who want to avoid surgery or who have residual incontinence following surgery, periurethral bulking is a good alternative that's about to get better, according to Dr.
Appropriately evaluated elderly residents can benefit from a pharmacologic trial of oxybutinin chloride (Ditropan) for urge incontinence, and for those residents in whom stress incontinence is a predominant feature, periurethral bulking
Contemporary pelvic floor surgeons should be facile in each of these techniques and hold them like arrows in one's quiver (along with periurethral bulking
, pessaries, and pelvic floor muscle training) to battle the many presentations of this often challenging condition.
This review offers a contemporary discussion on the role of periurethral bulking therapy in Canada, along with practical aspects of its application.
7) Coverage for periurethral bulking agents varies amongst jurisdictions, with some provinces requiring patients to pay for the injectables.