Urethral Bulking for Incontinence

Healthcare Professionals

1. Using standard procedure, prepare the patient for cystoscopy. Connect the Coaptite Implant syringe to the needle by turning the needle hub 1-1/2 turns ensuring that one green dot on the syringe is visible through the window on the needle hub. Prime the needle.
2. Insert the primed needle into the port of the scope. Insert the scope into the urethra. (figure: step 1)
3. At the mid urethra, position the needle bevel towards the urethral lumen at a 4 o’clock position. Puncture the tissue at a 45° angle until the bevel of the needle is covered in tissue. Do not insert past the bevel. (figure: step 2)
4. Reangle the scope parallel to urethra. Use markings on needle as a guide. Tunnel needle tip towards bladder neck 1-1.5cm depending on length between the mid-urethra & bladder neck. The needle tip should lie at proximal urethra.(figure: step 3)
5. Begin injecting Coaptite Implant using slow, continuous pressure on syringe plunger. Submucosal lining should begin to rise at the site of injection. Continue to inject Coaptite Implant into site until bleb has crossed the midline of urethra. (figure: step 4)
6. Repeat steps 1-5 on the contralateral side at the eight o’clock position. (figure: step 5)
7. The combination of Coaptite (CaHA) Implant and the carrier gel NaCMC help to establish an even distribution of particles that promotes collagen infiltration. The carrier gel is gradually absorbed and replaced by the surrounding cells. (figure: step 6)

See Prescriptive Information regarding specific Boston Scientific product indications, contraindications, precautions and warnings. Please refer to Directions for Use for more complete information.

Additional Information:
Federal (USA) law and governing law outside the USA restrict these devices to sale by or on the order of a physician trained in diagnostic and therapeutic cystoscopy.

Refer to insert provided with product for complete Instructions for Use, Indications for Use, Contraindications, Potential Adverse Effects, Warnings and Cautions.

Coaptite is a trademark of Bioform, Inc.