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- W2044486698 abstract "La thérapie cellulaire pour le traitement de l’incontinence urinaire est une technique prometteuse. Notre objectif principal était d’établir la tolérance de la technique d’injection intrasphinctérienne de cellules musculaires autologues chez les patients atteints d’incontinence urinaire d’effort (IUE) après prostatectomie totale (PT). Les objectifs secondaires portaient sur l’efficacité et l’évaluation des complications. Une étude ouverte, prospective, dans un centre a été menée chez 12 patients ayant une IUE après PT. Les patients ont eu une injection de cellules musculaires autologues, produites à partir d’une biopsie de muscle deltoïde. Le critère principal était la valeur du débit maximum (Qmax) à trois mois comparé à sa valeur de base. Les critères secondaires étaient les évènements indésirables, et les paramètres évaluant l’efficacité (symptômes, qualité de vie, calendrier mictionnel, pad-test, et profil de pression uréthral) à un, deux, trois, six et 12 mois. Aucune complication immédiate ni aucune variation significative du Qmax n’a été mise en évidence. Les seuls effets secondaires recensés ont été trois cas d’infection urinaire traités par antibiotiques. Les résultats à un an sur l’efficacité étaient hétérogènes, avec réduction des épisodes de fuites chez quatre patients, une augmentation de la pression de clôture chez un patient et une amélioration du pad-test chez huit patients. Dans notre expérience, le traitement de l’IUE après PT par injection de cellules musculaires autologues était une technique faisable et sûre. Certains patients étaient répondeurs au traitement, mais l’efficacité clinique de cette approche reste à confirmer. Cell therapy for urinary incontinence management has been experienced in animals with encouraging results, but studies in human beings are lacking. Our primary objective was to assess the safety of intrasphincteric injections of autologous muscular cells in patients with postprostatectomy incontinence (PPI). Secondary objectives focused on complications efficacy. We conducted an open, prospective study in a single center on 12 patients presenting PPI. Patients underwent intrasphincteric injections of autologous muscular cells isolated from a biopsy of deltoid muscle. The primary endpoint was the Qmax variation at the three month visit in order to assess potential bladder outlet obstruction. Secondary endpoints assessed side effects and efficacy parameters based on symptoms, quality of life score, voiding diary, pad-test, and urethral pressure profile at one, two, three, six and 12 months after injection. No immediate complication occurred and no significant variation was noted on Qmax. The only side effects possibly product-related were three cases of urinary tract infection treated by antibiotics. An acceptable safety and tolerability of the procedure whatever the injected dose of muscular cells was demonstrated. Results on efficacy after one year were heterogeneous, with 4/12 patients describing reduced urine leakage episodes, 1/12 patient presenting increased maximal closure pressure, and 8/12 patients showing improvement on pad-test. Cell therapy consisting of intrasphincteric injections of autologous muscular cells in patients with PPI was a feasible and safe procedure. The results point out that some subjects may positively respond to this procedure, but clinical efficacy remains to be confirmed." @default.
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- W2044486698 date "2011-11-01" @default.
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- W2044486698 title "Évaluation prospective du traitement de l’incontinence urinaire post-prostatectomie par injections intrasphinctériennes de cellules musculaires autologues" @default.
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- W2044486698 doi "https://doi.org/10.1016/j.purol.2011.03.001" @default.
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