How do you inject Macroplastique?

Macroplastique is indicated for transurethral injection in the treatment of adult women diagnosed with SUI primarily due to ISD. Tilt scope to a 30 – 45° angle. Orient needle with bevel toward urethral lumen. Advance needle into tissue to the first mark ~ 0.5 cm deep.

What is Periurethral injection?

Collagen periurethral injection is a procedure in which collagen is injected around the urethra and bladder neck as a treatment for stress incontinence in women. The collagen periurethral injection procedure is quick, and usually over within 15-20 minutes.

What is a bulking procedure?

A urethral bulking injection is a procedure that is used to treat urinary incontinence in women. During the procedure, bulking agents are injected into the walls of the urethra to help close the sphincter. The goal of a urethral bulking injection is to help patients gain control over their urine flow.

What is Macroplastique injection?

Macroplastique is an injectable soft-tissue urethral bulking agent for treating adult female stress urinary incontinence primarily due to intrinsic sphincter deficiency. Macroplastique is injected into the tissues surrounding the urethra.

What is macroplastique?

What is a Coaptite procedure?

What is Coaptite? Coaptite is used to help control urine (pee) leakage caused by a weak urinary sphincter. This is a permanent urethral implant. This is a procedure that is done in our office with local anesthesia.

How successful is urethral bulking?

Urethral bulking has a 60 to 70 percent success rate for women with SUI. The effects tend to reduce over time. Many women require repeated injections. There is no need to restrict your activity after this procedure.

How long do urethral bulking agents last?

What are the expectations? The bulking agent should improve the urinary leakage by 50% and last for 3 to 9 months. However, over time the symptoms will gradually return. Only 15% of people still report improvement from the injection after 12 months.

What kind of Prep is needed for Peri urethral injections?

In general, one needs a sterile prep solution for the vagina and peri-urethral tissues, 2 % lidocaine hydrochloride jelly (Uro-jet), 1 % lidocaine for peri-urethral blockade (if desired), sterile water, irrigation tubing with stopcock, camera, light cord, and cystoscopy tower.

Are there any side effects from peri urethral injections?

At this long-term follow-up, 40 % (10/25) of the Durasphere subjects and 14.3 % (3/21) of the bovine collagen subjects reported that they were dry ( p = .099). Complications rates were not reported in this trial.

Where are bulking agents injected in the urethra?

Using a 30° operative cystoscope (lens degree can vary), the bulking agent is injected into the submucosa at two or more sites at the same level of the proximal urethra. Bulking agents can be injected just distal to the bladder neck or at the midurethra, although there is little data to support either approach.

When to cancel a peri-urethral bulking procedure?

The type and size of endoscope utilized for peri-urethral bulking varies according to the bulking product. The patient has a urinalysis upon arrival on the day of the procedure to assure there is no underlying urinary tract infection, and the procedure is cancelled if urinalysis suggests an existing urinary tract infection.