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Definition  

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.

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Muscles Involved in Incontinence in Women  
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Reasons for Procedure  

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.

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Possible Complications  

If you are planning to have a coaptite injection, your doctor will review a list of possible complications which may include:

  • Trouble passing urine due to urethra swelling
  • Blood in urine
  • Painful urination
  • Urinary tract infection
  • Feeling the urge to urinate
  • Frequent urination
  • Continued incontinence
  • Bleeding
  • Damage to the urethra
  • Reaction to anesthesia

You should avoid this procedure if you have a history of:

  • Urinary tract infections
  • Current irritation of your bladder or urethra
  • The wall of your urethra being easily damaged

Be sure to discuss these risks with your doctor before the injection.

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What to Expect  

Prior to Procedure  

Your doctor may do the following:

  • Physical exam, blood and urine tests, and imaging tests
  • Discuss with you the type of anesthesia that will be used and the potential risks

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:

  • Aspirin or other anti-inflammatory drugs
  • Blood thinners, like warfarin (Coumadin)
  • Clopidogrel (Plavix)

Other things to keep in mind before the procedure:

  • Arrange for a ride home from the hospital.
  • If instructed by your doctor, do not eat or drink for eight hours before the procedure.

Anesthesia  

This procedure can be done under local, spinal , or general anesthesia. It will block any pain. Sedation may also be used to ease anxiety.

Description of 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.

Immediately After Procedure  

You will be monitored as the anesthesia wears off..

How Long Will It Take?  

The procedure usually takes 15-30 minutes.

How Much Will It Hurt?  

Anesthesia prevents pain during the procedure. Ask your doctor about medicine to help with pain after the injection.

Post-procedure Care  

At the Care Center