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Urethral Bulking for Incontinence

The objective of the urethral bulking procedure is to obtain closure at the bladder neck to mid-urethra by injecting a urethral bulking implant until the tissue of the bladder neck and/or urethra coapts.
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Prescriptive Information

Prescriptive Information

Indications

Coaptite Injectable Implant is indicated for soft tissue augmentation in the treatment of stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) in adult females.

Contraindications

The Coaptite Injectable Implant is contraindicated for use in a patient: who has significant history of urinary tract infections without resolution; who has current or acute conditions of cystitis or urethritis; who has fragile urethral mucosal lining.

Warnings

Note: Failure to follow any instructions or to heed any Warnings or Precautions could result in serious patient injury.

WARNING: Following injection of Coaptite Implant, dissection of the device through tissue may lead to 1) tissue erosion and may require corrective surgery or 2) elevation of the bladder wall causing ureteral obstruction. This may be caused by improper injection technique using Coaptite Implant. (See adverse event section in IFU for further information).

WARNING: Women with peripheral vascular disease and prior pelvic surgery may be at increased risk for tissue erosion following injection of Coaptite Implant. (See adverse event section in IFU for further information)
Please refer to complete instructions for use for a complete listing of all warnings and potential adverse effects.

Potential Adverse Effects

potential adverse effects that may occur include: genitourinary adverse events (i.e., urinary retention, hematuria, dysuria, UTI, urinary urgency and frequency), erosion, erythema, embolic phenomena, and vascular occlusion.

Cautions

CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a physician trained in diagnostic and therapeutic cystoscopy.

Trademark

Coaptite is a trademark of BioForm, Inc.



Coaptite Injectible Implant is manufactured by Bioform Medical, Inc and distributed by Boston Scientific Corporation.


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