International Urogynecology Journal (2018) 29:451–452 https://doi.org/10.1007/s00192-017-3548-4 IMAGES IN UROGYNECOLOGY 1 2 3 Julie R. Whittington & Paul R. Womble & Joy A. Greer Received: 6 September 2017 / Accepted: 14 December 2017 / Published online: 4 January 2018 The International Urogynecological Association 2018 . . . . Keywords Macroplastique Polydimethylsiloxane Migration Stress incontinence Urinary incontinence Introduction Cases Polydimethylsiloxane (Macroplastique®; Cogentix, A postmenopausal woman underwent periurethral bulking Minnetonka, MN) is an FDA-approved treatment for stress with polydimethylsiloxane in 2014 and presented in 2015 urinary incontinence (SUI) and is described as nonmigratory complaining of a vaginal mass. Examination was remarkable . Migration complications, reported with other bulking for a well-estrogenized vagina and a firm 2-cm right lateral agents, include periurethral masses, urethral mucosa prolapse, periurethral mass. An MRI scan was obtained (Fig. 1). She and migration to lymph nodes . In addition to two prior underwent excision of the vaginal periurethral mass and cases of polydimethylsiloxane migration, we report two healed well. The pathology returned as a foreign body giant further cases of polydimethylsiloxane migration, one into cell reaction with refractile gel-like material consistent with thevaginaand oneinto thebladder. polydimethylsiloxane. The second patient, also a postmenopausal woman, underwent polydimethylsiloxane injection for incontinence
International Urogynecology Journal – Springer Journals
Published: Jan 4, 2018
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