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Obstet Gynecol. 2011 Aug;118(2 Pt 2):418-21. doi: 10.1097/AOG.0b013e3182161953.

Foreign-body granuloma after injection of calcium hydroxylapatite for type III stress urinary incontinence.

Author information

  • 1Evanston Continence Center, Division of Urogynecology, Department of Obstetrics and Gynecology, NorthShore University HealthSystem, University of Chicago Pritzker School of Medicine, Evanston, Illinois 60201, USA. agafni-kane@northshore.org

Abstract

BACKGROUND:

Foreign-body granuloma is a potential complication of periurethral injection of calcium hydroxylapatite for the treatment of type III stress urinary incontinence.

CASES:

We present two cases of foreign-body granuloma formation after periurethral injection of calcium hydroxylapatite for type III stress urinary incontinence. Excision of the lesion resulted in cessation of pain in a symptomatic patient; however, it led to the resumption of stress urinary incontinence in both cases.

CONCLUSION:

Foreign-body granuloma is not the normative response to periurethral bulking with calcium hydroxylapatite. However, granuloma should be considered when a periurethral mass is encountered after injection of calcium hydroxylapatite for type III stress urinary incontinence.

PMID:
21768839
DOI:
10.1097/AOG.0b013e3182161953
[PubMed - indexed for MEDLINE]
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