Coaptite is a gel-like substance. It is used as a bulking agent to increase 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: Trouble passing urine due to urethra swellingBlood in urinePainful urinationUrinary tract infectionFeeling the urge to urinateFrequent urinationContinued incontinenceBleedingDamage to the urethraReaction to anesthesia
You should avoid this procedure if you have a history of: Urinary tract infectionsCurrent irritation of your bladder or urethraThe wall of your urethra being easily damaged
Be sure to discuss these risks with your doctor before the injection.
Your doctor may do the following: Physical exam, blood and urine tests, and imaging testsDiscuss with you the type of anesthesia that will be used and the potential risks
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
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.
This procedure can be done under local,
anesthesia. It will block any pain. Sedation may also be used to ease anxiety.
An IV will be placed in your arm . It will deliver fluids and medications 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.
A tiny camera will be inserted 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 medication to help with pain after the injection.
After the procedure, the hospital staff may provide the following care: Monitor you while you recover from the anesthesia and/or sedationHelp you to eat and move around againGive you pain medication
You will not need to stay overnight.
When you return home, do the following to help ensure a smooth recovery: Avoid difficult activity and heavy lifting.Do not have sex until your doctor says it is safe to do so.Be sure to follow your doctor’s instructions.
After arriving home, contact your doctor if you have any of the following: Increased pressure or painNot able to urinateChanges in frequency, odor, appearance, or volume of urineSigns of infection, including fever or chillsBlood in urinePainful urination or a burning sensationLeaking urine
In case of an emergency, call for emergency medical services right away.
Coaptite. United States Food and Drug Administration website. Available at:
http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm078444.htm. Updated September 4, 2013. Accessed October 27, 2014.
Incontinence. American Association of Family Physicians website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/urinary-incontinence.html. Updated April 2014. Accessed October 27, 2014.
Incontinence. American Urological Association Foundation website. Available at:
Updated March 2013. Accessed October 27, 2014.
Last reviewed December 2014 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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