Urethral Bulking

Bulkamid, Macroplastique®, Durasphere® and Coaptite™ are the most commonly used bulking agents on the market. One trial of Bulkamid xcfound more effective in patients over 60 yrs old with fewer than 2.5 daily SUI episodes w/ 90% treatment effectiveness and 38% cured compared to 13% cure rate in patients under 60yrs with 2.5 or more SUI episodes. (1)

Periendoscope Injection of Durasphere

Endoscopic injection of Durasphere

1. Elmelund, M., Sokol, E. R., Karram, M. M., Dmochowski, R., & Klarskov, N. (2019). Patient Characteristics that May Influence the Effect of Urethral Injection Therapy for Female Stress Urinary Incontinence. The Journal of Urology, 202(1), 125–131.