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Coaptite Injection


Why is this procedure done?


Stress incontinence is a health problem where your urine leaks out freely. Urine may also leak when you cough, laugh, sneeze, or lift heavy objects. Your bladder muscles and the organs controlling your urine are too weak. ‚  
A Coaptite device is a lasting gel-like substance that is injected into a womans urethra near the bladder. The injection is done to make the wall of the urethra thicker and stop urine from leaking out. ‚  

What will the results be?


Stress incontinence will be treated. Uncontrolled leaking of urine will stop. ‚  

What happens before the procedure?


  • Your doctor will take your history. Talk to your doctor about:
    • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
    • Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some examples are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about all the drugs you take.
    • If you need to stop eating or drinking before your procedure.
  • Your doctor will do an exam and may order:
    • Lab tests
    • Ultrasound
    • CT scan
  • You may want to check with your insurance company. This injection is not always covered.
  • You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.

What happens during the procedure?


  • You will lie flat on your back on the table. Your doctor may give you a numbing drug to help you stay pain free and comfortable during your procedure. This will make you stay pain-free and comfortable during the procedure. You may be asleep or awake during the procedure. Your doctor may put an I.V. line in your arm to give you fluids and drugs. Monitors will keep track of your blood pressure and heart rate.
  • Your doctor will clean your genital area. The doctor will put a thin flexible tube, called a cystoscope, into your urethra. A cytoscope has a tiny, lit camera on the tip. Your doctor will put water into your bladder through the tube. The doctor will put the Coaptite gel into the tube and inject it into the urethra near the bladder. You may feel a little pressure.
  • Your doctor will inject another dose of the gel after the first dose. The second dose will make the lining thicker.
  • Your doctor may inject more doses if two doses of Coaptite are not enough.
  • Your doctor will remove the tube and clean the area.
  • The procedure takes 15 to 30 minutes.

What happens after the procedure?


  • You will stay in the Recovery Room for a few hours after the procedure. You may go home when you are able to pass urine and your doctor thinks you are ready.
  • You may have some pain. Your doctor will give you drugs for any pain you may feel.
  • You may have problems passing urine after the procedure. You may feel stinging or burning when you pass urine after the injection. Discomfort while passing urine is normal.

What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what you need to do.
  • Wash your genital area with soap and tap water each time you pass urine.
  • Drink 8 to 10 glasses of water each day to flush your bladder.
  • If you have your period after the procedure, use sanitary napkins and not tampons.
  • Try to avoid stretching your bladder. Pass urine if you feel the need to. Do not hold your urine.
  • If you leak urine because of pain, change your underwear when wet. Use a sanitary pad if you are leaking.
  • Ask your doctor when you may safely have sex again.
  • Talk to your doctor about when you may take a tub bath.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep your visits. ‚  

Will physical activity be limited?


Do not lift heavy objects or do hard activities after your procedure. You need to get lots of rest to help you heal faster. Ask your doctor when you can return to your normal activities. ‚  

What problems could happen?


  • Infection
  • Swelling of the urethra
  • Bleeding
  • Pain when passing urine
  • Trouble passing urine
  • Passing urine often
  • Injury to nearby structures
  • Problem does not get better

When do I need to call the doctor?


  • Signs of infection such as a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, or cloudy urine.
  • Heavy or prolonged blood in your urine
  • Prolonged trouble passing urine
  • Pain not helped by drugs you are taking

Where can I learn more?


U.S. Food and Drug Administration ‚  
http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm078444.htm ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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