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Periurethral Bulking agent


Periurethral bulking agent is a minimally invasive treatment for stress incontinence. It is a minor, day stay procedure. It is not a primary treatment for stress incontinence; slings, either synthetic or natural tissue, are much better treatments for stress incontinence. However, for some women, bulking agents are a better option, as slings are too risky.

The procedure involves a general anaesthetic. A camera is placed into your urethra, and a bulking agent such as Bulkamid is injected under the lining of the urethra. This helps to bulk up the urethra, and increase resistance, reducing the risk of stress incontinence. After your procedure, which takes about 20 minutes, you go to recovery, and then go home after you have passed urine.


While periurethral bulking agents are an excellent option, there are some downsides. It is not as effective as a sling, and it may not be successful in significantly improving stress incontinence. Bulking agents are expensive, although they are sometimes covered by medical insurance. Lastly, the effect of the bulking agent can wear off, and need to be repeated. The benefits of periurethral bulking agent are that it is minimally invasive surgery, which has very low risks. Specifically, the risk of  not being able to pass urine post operatively is very low.

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