Coaptite is a gel-like substance that is used as a bulking agent. It is injected around the sphincter where the urethra and bladder meet. Sphincter muscles control the release of urine from the bladder. The substance supports the urethra, decreasing incontinence.
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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If you are planning to have a coaptite injection, your doctor will review a list of possible complications which may include:
You should avoid this procedure if you have a history of:
Be sure to discuss these risks with your doctor before the injection.
Your doctor may do the following:
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:
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:
You will not need to stay overnight.
When you return home, do the following to help ensure a smooth recovery:
After arriving home, contact your doctor if you have any of the following:
In case of an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
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 November 18, 2015.
Incontinence. American Association of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/urinary-incontinence.html. Updated April 2014. Accessed November 18, 2015.
Incontinence. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=143. Accessed November 18, 2015.
Last reviewed November 2015 by Adrienne Carmack, MD Last Updated: 12/20/2014