St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Urinary incontinence - injectable implant

    Intrinsic sphincter deficiency repair; ISD repair; Injectable bulking agents for stress urinary incontinence

    Injectableimplants are injections of material into the urethra to help control urine leakage (urinary incontinence) caused by a weak urinary sphincter. The sphincter is a muscle that allows your body to hold the urine in the bladder. If your sphincter muscle stops working well you will have urine leakage.

    Description

    The material that is injected is permanent. Coaptite and Macroplastique are examples of two brands.

    The doctor injects material through a needle into the wall of your urethra. This isthe tube that carries urine from your bladder. Thematerial bulks up the urethral tissue,causing it to close up. Thisstops urine from leaking out of your bladder.

    The type of anesthesia (pain relief) you receivefor this procedure may be one of the following:

    • Local anesthesia (only the area being worked on will be numb)
    • Spinal anesthesia (you will be numb from the waist down)
    • General anesthesia (you will be asleep and not able to feel pain)

    After you are numb or asleep from anesthesia, the doctor puts a medical device called a cystoscope into your urethra. The cystoscope allows your doctor to see the area.

    Thenthe doctor passes a needle through the cystoscope into your urethra. Material is injected into the wall of the urethra or bladder neck through this needle. The doctor can also injectmaterial into the tissue next to the sphincter.

    Theimplant procedure isusually done in the hospital. Or it is done in your doctor's clinic. The procedure takes about 20- 40 minutes.

    Why the Procedure Is Performed

    Implants can help both men and women.

    Men who have urine leakage after prostate surgery may choose to have implants.

    Women who have urine leakage and want a simple procedure to control the problem may choose to have an implant procedure. These women may not want to have surgery that requires general anesthesia.

    Risks

    Risksof this procedure are:

    • Damage to the urethra or bladder
    • Urine leakage may get worse
    • Pain where the injection was done
    • Allergic reaction to the material
    • Implant material moves (migrates) to another area of the body

    Before the Procedure

    Tell your doctor or nurse what medicines you are taking. This includesmedicines, supplements, or herbs you bought without a prescription.

    You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin) warfarin (Coumadin), and any othermedicines that make it hard for your blood to clot.

    On the day of your procedure:

    • You may be asked not to drink or eat anything for 6- 12 hours before the procedure. This will depend on what type of anesthesia you will have.
    • Take the medicines your doctor told you to take with a small sip of water.
    • Your doctor or nurse will tell you when to arrive at the hospital or clinic. Be sure to arrive on time.

    After the Procedure

    Most people can go home soon after the procedure. It may take up to a month before the injection fully works.

    It may become harder to empty your bladder. You may need to use a catheter for a few days. This and any other urinaryproblems usually go away.

    Outlook (Prognosis)

    You may need 2 or 3 more injections to get good results. If the material migrates, you may need additional treatments in the future.

    Implants canhelp most men who have had transurethral resection of the prostate (TURP).Implants help about half of men who have had their prostate gland removed to treat prostate cancer.

    References

    Appell RA, Dmochowski RR, Blaivas JM, Gormley EA, et al. Female Stress Urinary Incontinence Update Panel of the American Urological Association Education and Research, Inc, Whetter LE. Update of AUA Guideline on the surgical management of female stress urinary incontinence. J Urol. 2010;183:1906-1914.

    Herschorn S. Injection therapy for urinary incontinence. In: Wein AJ, Kavoussi LR, Novick AC, et al., eds. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 74.

    BACK TO TOP

          A Closer Look

            Talking to your MD

              Self Care

                Tests for Urinary incontinence - injectable implant

                  Review Date: 12/12/2012

                  Reviewed By: Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

                  The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
                  adam.com

                  A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


                  Back  |  Top
                  About Us
                  Contact Us
                  History
                  Mission
                  Locations & Directions
                  Quality Reports
                  Annual Reports
                  Honors & Awards
                  Community Health Needs
                  Assessment

                  Newsroom
                  Services
                  Brain & Spine
                  Cancer
                  Heart
                  Maternity
                  Orthopedics
                  Pulmonary
                  Sleep Medicine
                  Urgent Care
                  Women's Services
                  All Services
                  Patients & Visitors
                  Locations & Directions
                  Find a Physician
                  Tour St. Luke's
                  Patient & Visitor Information
                  Contact Us
                  Payment Options
                  Financial Assistance
                  Send a Card
                  Mammogram Appointments
                  Health Tools
                  My Personal Health
                  mystlukes
                  Spirit of Women
                  Health Information & Tools
                  Clinical Trials
                  Health Risk Assessments
                  Employer Programs -
                  Passport to Wellness

                  Classes & Events
                  Classes & Events
                  Spirit of Women
                  Donate & Volunteer
                  Giving Opportunities
                  Volunteer
                  Physicians & Employees
                  For Physicians
                  Remote Access
                  Medical Residency Information
                  Pharmacy Residency Information
                  Physician CPOE Training
                  Careers
                  Careers
                  St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
                  Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile