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Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects

Urinary incontinence (UI) is a major problem in health care and more than 400 million people worldwide suffer from involuntary loss of urine. With an increase in the aging population, UI is likely to become even more prominent over the next decades and the economic burden is substantial. Among the d...

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Autores principales: Schmid, Florian A., Williams, J. Koudy, Kessler, Thomas M., Stenzl, Arnulf, Aicher, Wilhelm K., Andersson, Karl-Erik, Eberli, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069473/
https://www.ncbi.nlm.nih.gov/pubmed/33921532
http://dx.doi.org/10.3390/ijms22083981
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author Schmid, Florian A.
Williams, J. Koudy
Kessler, Thomas M.
Stenzl, Arnulf
Aicher, Wilhelm K.
Andersson, Karl-Erik
Eberli, Daniel
author_facet Schmid, Florian A.
Williams, J. Koudy
Kessler, Thomas M.
Stenzl, Arnulf
Aicher, Wilhelm K.
Andersson, Karl-Erik
Eberli, Daniel
author_sort Schmid, Florian A.
collection PubMed
description Urinary incontinence (UI) is a major problem in health care and more than 400 million people worldwide suffer from involuntary loss of urine. With an increase in the aging population, UI is likely to become even more prominent over the next decades and the economic burden is substantial. Among the different subtypes of UI, stress urinary incontinence (SUI) is the most prevalent and focus of this review. The main underlying causes for SUI are pregnancy and childbirth, accidents with direct trauma to the pelvis or medical treatments that affect the pelvic floor, such as surgery or irradiation. Conservative approaches for the treatment of SUI are pelvic physiotherapy, behavioral and lifestyle changes, and the use of pessaries. Current surgical treatment options include slings, colposuspensions, bulking agents and artificial urinary sphincters. These treatments have limitations with effectiveness and bear the risk of long-term side effects. Furthermore, surgical options do not treat the underlying pathophysiological causes of SUI. Thus, there is an urgent need for alternative treatments, which are effective, minimally invasive and have only a limited risk for adverse effects. Regenerative medicine is an emerging field, focusing on the repair, replacement or regeneration of human tissues and organs using precursor cells and their components. This article critically reviews recent advances in the therapeutic strategies for the management of SUI and outlines future possibilities and challenges.
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spelling pubmed-80694732021-04-26 Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects Schmid, Florian A. Williams, J. Koudy Kessler, Thomas M. Stenzl, Arnulf Aicher, Wilhelm K. Andersson, Karl-Erik Eberli, Daniel Int J Mol Sci Article Urinary incontinence (UI) is a major problem in health care and more than 400 million people worldwide suffer from involuntary loss of urine. With an increase in the aging population, UI is likely to become even more prominent over the next decades and the economic burden is substantial. Among the different subtypes of UI, stress urinary incontinence (SUI) is the most prevalent and focus of this review. The main underlying causes for SUI are pregnancy and childbirth, accidents with direct trauma to the pelvis or medical treatments that affect the pelvic floor, such as surgery or irradiation. Conservative approaches for the treatment of SUI are pelvic physiotherapy, behavioral and lifestyle changes, and the use of pessaries. Current surgical treatment options include slings, colposuspensions, bulking agents and artificial urinary sphincters. These treatments have limitations with effectiveness and bear the risk of long-term side effects. Furthermore, surgical options do not treat the underlying pathophysiological causes of SUI. Thus, there is an urgent need for alternative treatments, which are effective, minimally invasive and have only a limited risk for adverse effects. Regenerative medicine is an emerging field, focusing on the repair, replacement or regeneration of human tissues and organs using precursor cells and their components. This article critically reviews recent advances in the therapeutic strategies for the management of SUI and outlines future possibilities and challenges. MDPI 2021-04-12 /pmc/articles/PMC8069473/ /pubmed/33921532 http://dx.doi.org/10.3390/ijms22083981 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schmid, Florian A.
Williams, J. Koudy
Kessler, Thomas M.
Stenzl, Arnulf
Aicher, Wilhelm K.
Andersson, Karl-Erik
Eberli, Daniel
Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title_full Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title_fullStr Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title_full_unstemmed Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title_short Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects
title_sort treatment of stress urinary incontinence with muscle stem cells and stem cell components: chances, challenges and future prospects
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069473/
https://www.ncbi.nlm.nih.gov/pubmed/33921532
http://dx.doi.org/10.3390/ijms22083981
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