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Senior Health Report: Bladder Control
Health News You Can Use •

Bladder Control News:

Skeletal Muscle Cell Transplants May Be Promising New Therapy for Urinary Incontinence

Skeletal muscle cell transplants in laboratory animals appear to offer a safer, more effective and longer lasting treatment for urinary incontinence than existing methods, according to researchers at the University of Pittsburgh Medical Center.

"In patients who need more advanced treatments for incontinence, we currently have the options of treating them through surgery or through the injection of bulking agents like collagen," said Ryan J. Pruchnic of the departments of urology and orthopedic surgery.

Although collagen injections give good short-term results and are less invasive than surgery, there is a possibility of the collagen being reabsorbed or causing allergic reactions," he said. "In our study, muscle derived cells have the potential to offer a longer-term solution without the risk of rejection."

Researchers took muscle cells from mice, purified and cloned them, and then reinjected the cells into the animal's bladder. The bladders were reevaluated at one, four and eight weeks and six months. Researchers found the presence of myofibers, or differentiated muscle cells, throughout the smooth muscle layer, which did not decrease over time. Some of the myofibers appeared to show differentiation into smooth muscle and there were indications that the muscle was supplied with nerves giving the muscle the ability to become functional tissue.

"These findings indicate that the use of muscle derived cells may prove to be a very promising new therapy in the treatment of urinary incontinence. Essentially, we are giving the bladder muscles the ability to fix themselves by generating new muscle," said Dr. Michael Chancellor, professor of urology and gynecology at UPMC. "In future studies we hope this will turn into a long lasting, if not permanent, solution for our patients."

Source: Medical Week staff, week of June 2, 2002

 

 

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