Coaptite is a gel-like substance. It is used as a 'bulking agent' to increases the size of the urethra. The urethra is a tube that allows urine to pass from the bladder to the outside of the body.
This procedure is for women who have stress urinary incontinence . This is the leakage of urine caused by weakening of the muscles around the bladder and pelvis.
Muscles Involved in Incontinence in Women
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If you are planning to have a coaptite injection, your doctor will review a list of possible complications which may include:
You should avoid this procedure if you have a history of:
Be sure to discuss these risks with your doctor before the injection.
Your doctor may do the following:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure. The medicines may include:
Other things to keep in mind before the procedure:
An IV will be placed in your arm . It will deliver fluids and medicines directly into your bloodstream. A special jelly or fluid may be placed into your urethra to numb the area. If you are having spinal anesthesia, it will be injected into the spine. General anesthesia will be given through an IV.
The doctor will insert a tiny camera into your urethra. This will allow the doctor to see the bladder. The coaptite substance will be passed through the scope. It will be injected into the urethra wall near the bladder. The procedure will be repeated on the other side of the urethra. The gel will create a bulge just under the bladder.
You will be monitored as the anesthesia wears off..
The procedure usually takes 15-30 minutes.
Anesthesia prevents pain during the procedure. Ask your doctor about medicine to help with pain after the injection.
After the procedure, the hospital staff may provide the following care:
You will not need to stay overnight.
When you return home, do the following to help ensure a smooth recovery:
After arriving home, contact your doctor if you have any of the following:
In case of an emergency, call for medical help right away.
American Urological Association Foundation
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Urological Association
Boston Scientific. Coaptite injection. Boston Scientific website. Available at: http://www.bostonscientific.com/templatedata/imports/collateral/Gynecology/broc_coaptite_02_us_all_ug.pdf . Accessed August 12, 2010.
Incontinence. American Association of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/urinary-incontinence.html . Accessed September 14, 2012.
Treating urinary incontinence. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated January 11, 2010. Accessed September 14, 2012.
Incontinence. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=143 . Updated January 2011. Accessed September 16, 2012.
United States Food and Drug Administration. Coaptite. United States Food and Drug Administration website. Available at: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm078444.htm. Updated July 8 , 2009. Accessed September 14, 2012.
Last reviewed September 2012 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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