Autologous adipose stem cells in treatment of female stress urinary incontinence: Results of a pilot study

Kirsi Kuismanen, Reetta Sartoneva, Suvi Haimi, Bettina Mannerström, Eija Tomás, Susanna Miettinen, Kari Nieminen

    Tutkimustuotos: ArtikkeliScientificvertaisarvioitu

    75 Sitaatiot (Scopus)


    The purpose of our study was to find out whether transurethral injections of autologous adipose stem cells (ASCs) are an effective and a safe treatment for female stress urinary incontinence (SUI). We treated five SUI patients with ASCs combined with bovine collagen gel and saline. Prior to the treatment, the ASCs were isolated from subcutaneous fat and expanded for 3 weeks in a good manufacturing practice-level laboratory. The mixture of ASCs and collagen was injected transurethrally via cystoscope. Additionally, viability, multipotency, and surface marker profile of ASCs were analyzed in vitro. We followed up with patients 3, 6, and 12 months after the injections. The primary endpoint was a cough test to measure objectively the effect of the treatment. Validated questionnaires were used to determine the subjective cure rate. After 6 months, 1 of 5 patients displayed a negative cough testwith full bladder filledwith 500 ml of saline. At 1 year, the cough testwas negative with three patients: two of themwere satisfied with the treatment and did notwish further treatment for SUI. Validated questionnaires showed some subjective improvement in all five patients. This is the first study describing the use of autologous ASCs in combination with collagen gel for female SUI treatments. Thus far, the treatment with autologous ASCs has proven safe and well tolerated. However, the feasibility and efficacy of the treatment were not optimal: therefore, additional research is needed to develop SUI injection therapies.

    JulkaisuStem Cells Translational Medicine
    DOI - pysyväislinkit
    TilaJulkaistu - 2014
    OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä


    • Adipose stem cells
    • Female incontinence
    • Injection therapy
    • Stress urinary incontinence
    • Tissue engineering


    • Jufo-taso 1


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