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Urethrovaginal fistula associated with ‘sterile abscess’ formation following periurethral injection of dextranomer/hyaluronic acid co-polymer (Zuidex™) for the treatment of stress urinary incontinence—a case report

  1. P Hilton

Article first published online: 14 AUG 2009

DOI: 10.1111/j.1471-0528.2009.02306.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 116, Issue 11, pages 1527–1530, October 2009

Additional Information

How to Cite

Hilton, P. (2009), Urethrovaginal fistula associated with ‘sterile abscess’ formation following periurethral injection of dextranomer/hyaluronic acid co-polymer (Zuidex™) for the treatment of stress urinary incontinence—a case report. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 1527–1530. doi: 10.1111/j.1471-0528.2009.02306.x

Author Information

  1. Royal Victoria Infirmary, Newcastle upon Tyne, UK

*Paul Hilton, Consultant Gynaecologist & Urogynaecologist, Directorate of Women’s Services, 3rd floor, Leazes Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK. Email paul.hilton@ncl.ac.uk

Publication History

  1. Issue published online: 16 SEP 2009
  2. Article first published online: 14 AUG 2009
  3. Accepted 24 June 2009. Published Online 14 August 2009.

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References

  • 1
    National Institute for Health & Clinical Excellence. Intramural urethral bulking procedures for stress urinary incontinence in women. Interventional Procedures Guidance 138. London: NICE, 2005 [http://www.nice.org.uk/nicemedia/pdf/ip/IPG138guidance.pdf]. Accessed 22 March 2009.
  • 2
    Sweat SD, Lightner DJ. Complications of sterile abscess formation and pulmonary embolism following periurethral bulking agents. J Urol 1999;161:93–6.
  • 3
    Madjar S, Sharma AK, Waltzer WC, Frischer Z, Secrest CL. Periurethral mass formations following bulking agent injection for the treatment of urinary incontinence. J Urol 2006;175:1408–10.
  • 4
    Hagemeier T, Blau U, Gauruder-Burmester A, Tunn R. Paraurethral abscess developing after mid-urethral Zuidex-injection in women with stress urinary incontinence—management of complications and retrospective comparison with bladder neck located injection technique [German]. Zentralbl Gynakol 2006;128:68–70.
  • 5
    Coull N, Dover K, Walker RMH. Sterile abscess formation following periurethral injections for stress urinary incontinence—an underestimated complication. Br J Med Surg Urol 2008;1:142–4.
  • 6
    Morton HC, Hilton P. Urethral injury in association with mid-urethral tape procedures used in the treatment of stress urinary incontinence. BJOG 2009;116:1120–6.
  • 7
    Elzayat EA, Karsenty G, Bismar TA, Corcos J. Volume changes and histological response to injected dextranomer/hyaluronic acid copolymer (Zuidex) and collagen (Contigen) in rats. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:247–52.
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