Urethral Bulking for Urinary Incontinence
Most bulking materials are injected around the urethra just outside the muscle of the urethra at the bladder outlet. Injecting the bulking material may be done through the skin, through the urethra or, in women, through the vagina. Needle placement is guided by the use of a cystoscope inserted into the urethra.
Urethral bulking procedures are usually done under local anesthesia in women, but men may require a general or regional anesthesia. A local anesthetic allows the person to stand up after an injection to find out if continence has been achieved. If continence has not been restored, another injection may be done immediately.
The surgery is used mostly for women and sometimes for men.
What To Expect After Surgery
Most urethral bulking injections can be done in a doctor's office or surgery center. They rarely require hospitalization. You may need to take it easy for a few days afterward.
Why It Is Done
Urethral bulking may be done to treat:
How Well It Works
The main risks related to urethral bulking are pain at the injection site, injury to the urethra, and migration of the bulking material.
What To Think About
This surgery is used mostly for women and sometimes for men.
Collagen used for bulking is obtained from cows and is used after being chemically modified. It may cause allergic reactions in some people. So before collagen is used, a skin test is done to check for allergies. Collagen is absorbed slowly by the body, which makes it necessary to repeat the injections after several years. Collagen therapy is expensive.
This treatment method avoids the risks associated with abdominal surgery.
Before having urethral bulking treatment, ask your doctor about the following:
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