Name of the Procedure:

Injectable Bulking Agent, Synthetic Implant, Urinary Tract (L8606)

Summary

This procedure involves injecting a synthetic bulking agent into the urinary tract to help improve symptoms related to urinary incontinence. The agent is delivered through a 1 ml syringe and includes all necessary supplies and shipping.

Purpose

The objective is to treat urinary incontinence, particularly stress urinary incontinence. By injecting the bulking agent, the urethral walls are thickened, improving closure and reducing urine leakage.

Indications

• Stress Urinary Incontinence (SUI)
• Urinary leakage due to weakened pelvic floor muscles
• Patients who have not responded to conservative treatments like pelvic floor exercises or medication

Preparation

• Patients may be required to fast for a few hours before the procedure.
• A pre-procedure assessment to ensure no active urinary tract infection.
• Adjustments to medications, especially blood thinners, might be needed.

Procedure Description

1. Initial Assessment: The patient is assessed and prepped in the treatment area.
2. Anesthesia: Local anesthesia is applied to numb the urethral area.
3. Injection: Using a fine needle, the synthetic bulking agent is injected into the walls of the urinary tract.
4. Post-Injection Assessment: The injected area is observed to ensure proper placement and immediate effectiveness.

Duration

The procedure typically takes about 15–30 minutes.

Setting

The procedure is usually performed in an outpatient clinic or a specialized surgical center.

Personnel

• Urologist or a trained specialist
• Nurse or medical assistant
• Anesthesiologist, if sedation is used

Risks and Complications

• Common: Mild discomfort, localized swelling, or bleeding at the injection site.
• Rare: Infection, migration of the bulking agent, or allergic reactions.

Benefits

• Reduced urinary leakage
• Improved quality of life
• Benefits often noticed within a few days to weeks following the procedure

Recovery

• Patients can usually resume normal activities within a day.
• It is advised to avoid strenuous activities or heavy lifting for a few days.
• Follow-up appointments to monitor the effectiveness and any potential complications.

Alternatives

• Pelvic floor physical therapy
• Medications for incontinence
• Behavioral therapies like bladder training
• Surgical options like sling procedures
• Each alternative has varying levels of effectiveness and invasiveness.

Patient Experience

• During: Minimal discomfort due to local anesthesia; some pressure sensation during the injection.
• After: Mild soreness or swelling that resolves quickly. Most patients experience a significant improvement in symptoms shortly after the procedure. Pain management includes over-the-counter pain relievers if needed.