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Transvesical Phenol Injection of Pelvic Nerve Plexuses in Females with Refractory Urge Incontinence
Author(s) -
WALL L. L.,
STANTON S. L.
Publication year - 1989
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1989.tb05937.x
Subject(s) - medicine , refractory (planetary science) , urge incontinence , fistula , surgery , urology , urinary incontinence , physics , astrobiology
Summary— A series of 28 female patients with urge incontinence refractory to other forms of treatment underwent a total of 40 transvesical injections of phenol into the pelvic nerve plexuses. Following primary phenol injection only 8 patients (29%) had a significant response to therapy and all relapsed during follow‐up. Only 3 of 11 patients undergoing a second injection had a clinical response to this therapy and 1 developed a vesicovaginal fistula. This suggests that phenol injections have little place in the management of urge incontinence and it is unwise to proceed to 2 or more injections because of the risk of fistula.