Female Urinary Incontinence - Symptoms & Treatment (2024)

What Is Bulkamid?

Bulkamid is a treatment for urinary incontinence. It is known as a bulking agent. Bulkamid is a hydrogel substance injected into specific areas within the urinary tract to increase tissue bulk. This helps improve urinary control and minimize urine leakage.

Bulkamid’s primary component is a soft, non-absorbable hydrogel. This hydrogel is biocompatible, meaning it is well-tolerated by the body.

How Does Bulkamid Work?

Bulkamid injections increase the volume or bulk of the tissue where it’s inserted. By injecting the hydrogel into specific areas of the urinary tract, two goals can be achieved:

1. Improved Tissue Support: Supports weakened or damaged tissues in the urinary sphincter or bladder neck. Because these muscles and tissues are often weak in urinary incontinence, this reinforcement is beneficial in resolving symptoms.

2. Reduced Urine Leakage: Increases the bulk of the treated area, which helps the closure mechanism of the urinary sphincter work better. This helps prevent the unintentional release of urine, particularly during physical activities or sudden movements.

Indications for Use

Bulkamid is primarily used to treat two main conditions:

1. Stress Urinary Incontinence (SUI)

Stress urinary incontinence is the most common type of incontinence in women. It happens when physical stress (like coughing, sneezing, or exercising) puts pressure on the bladder, causing urine leakage. Hydrogel injections can help improve the function of the urinary sphincter, reducing episodes of incontinence.

2. Vesicoureteral Reflux (VUR)

Vesicoureteral reflux is when urine flows backward from the bladder into the ureters and sometimes up into the kidneys. Bulkamid can be used as a minimally invasive treatment to correct VUR by supporting and preventing urine from flowing in the wrong direction.

The Bulkamid Procedure

Bulkamid injections are typically performed as an outpatient procedure. Local anesthesia is used to numb the area, though you are generally awake for the procedure.

The urologist uses a thin needle to inject it into the targeted urinary tract area. The specific injection sites vary depending on the condition being treated. The hydrogel is carefully deposited to provide the necessary support and bulk.

Patients can typically resume normal activities shortly after the procedure, though you may need to avoid strenuous physical activities for a short period.

Benefits of Bulkamid

There are several advantages as a treatment option for urinary incontinence and VUR:

1. Minimally Invasive

Bulkamid is a minimally invasive treatment that does not require major surgery, so recovery times are faster. There is also reduced risk compared to more invasive surgical procedures.

2. Improved Quality of Life

Hydrogel injections can significantly improve quality of life by reducing the frequency and severity of leakage episodes. This allows them to participate in activities and events they may have otherwise avoided.

3. Long-lasting Results

Typically provides long-lasting results. The hydrogel does not dissolve, so it remains in the tissue for many years.

4. Suitable for a Range of Patients

Hydrogel injections are suitable for many patients, including those who may not be ideal candidates for more invasive surgical procedures. It can be used in women, men, and even children to treat VUR.

Potential Risks

While it is generally safe and well-tolerated, it’s essential to consider potential risks and side effects, which can include:

  • Temporary discomfort at the injection site
  • Potential migration of the hydrogel
  • Infection (rare)
  • Allergic reactions (rare)

Frequently Asked Questions (FAQs)

Is Bulkamid covered by insurance?

Coverage varies based on your specific plan. We recommend contacting your insurance company to find out what level of coverage you have.

Is Bulkamid covered by Medicare?

Yes – Bulkamid is covered by Medicare.

Can Bulkamid be removed?

Yes – while it is quite rare to need to remove an injection, it can be surgically removed if necessary.

Is Bulkamid safe?

Yes – Bulkamid is an FDA-approved product and is generally safe for most people. The hydrogel is usually well tolerated by the body since it is biocompatible.

Female Urinary Incontinence - Symptoms & Treatment (2024)

FAQs

What is the first line treatment for female incontinence? ›

First-line treatment includes teaching the patient some behavioral therapies such as bladder training and toileting habits, lifestyle modifications, voiding diaries, dietary changes, avoiding bladder irritants (such as caffeine and smoking), pelvic floor muscle training (PFMT), and biofeedback.

What helps female urinary incontinence? ›

  • Kegel exercises: Regular, daily exercising of pelvic muscles can improve, and even prevent, urinary incontinence.
  • Biofeedback: Used with Kegel exercises, biofeedback helps people gain awareness and control of their pelvic muscles.

What is the immediate relief from urinary incontinence? ›

Treatment
  1. Bladder training, to delay urination after you get the urge to go. ...
  2. Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. ...
  3. Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.

What is the number one treatment for urinary incontinence? ›

Midurethral sling procedure.

This is the most common procedure for stress urinary incontinence. It is a minimally invasive procedure that places a small piece of mesh under the urethra tube.

What is the new drug to stop incontinence? ›

GEMTESA (vibegron) is an oral medication indicated for the treatment of overactive bladder (OAB) with signs of urge urinary incontinence (UUI), urgency, and urinary frequency in adults. GEMTESA is available as an oral once-daily, oval, light green, film-coated tablet in 75mg strength.

What is the new device for female urinary incontinence? ›

The FDA Clearance and Safety of INNOVO's Multipath™ Technology. Explore the FDA-cleared Multipath™ Technology of INNOVO, a revolutionary non-invasive solution for stress urinary incontinence that ensures safety and effectiveness in strengthening pelvic floor muscles and enhancing quality of life.

What is the best drink for urinary incontinence? ›

Fluids that are good for the bladder
  • Water is the best option for the bladder and for general health.
  • Diluted cordial / squash drinks.
  • Diluted fruit juice.
  • Many fruit and herbal teas.
  • Red bush tea (a type of tea that is naturally caffeine free)
Dec 22, 2021

Does drinking water help with urinary incontinence? ›

In other people with a painful bladder, the production of a more concentrated urine may be irritating to the bladder. In these patients, drinking more water can help incontinence due to decrease in the frequency of voiding and the amount of leakage.

What vitamin is good for bladder control? ›

Vitamin D supplementation may be gaining recognition as an effective strategy for prevention or alleviation of bladder symptoms such as overactive bladder and incontinence.

How I cured my urinary incontinence? ›

  1. Stop smoking. If you smoke, you put yourself at risk of incontinence, because coughing puts strain on your pelvic floor muscles. ...
  2. Do the right exercises. ...
  3. Avoid lifting. ...
  4. Lose excess weight. ...
  5. Treat constipation promptly. ...
  6. Cut down on caffeine. ...
  7. Cut down on alcohol. ...
  8. Drink plenty of water.

What can I take over the counter for bladder incontinence? ›

Key takeaways: The only over-the-counter medication approved for overactive bladder (OAB) is Oxytrol for Women (oxybutynin). It's a patch that's applied to your skin, but it should only be used by women.

How to relax bladder to pee? ›

If you do have to force yourself, here are 10 strategies that may work:
  1. Run the water. Turn on the faucet in your sink. ...
  2. Rinse your perineum. ...
  3. Hold your hands in warm or cold water. ...
  4. Go for a walk. ...
  5. Sniff peppermint oil. ...
  6. Bend forward. ...
  7. Try the Valsalva maneuver. ...
  8. Try the subrapubic tap.

How do you treat a woman who can't hold her urine? ›

Medication. Estrogen replacement therapy, in the form of cream or a vagin*l ring, helps swell the area around your urethra and guard against leaking. It can help both types of urinary incontinence. Drugs like pseudoephedrine are sometimes used to help tone up the urethra, and can help stress incontinence.

Can female incontinence be corrected? ›

Usually, stress incontinence can be treated with a number of conservative treatments. These include lifestyle changes, exercises, weight loss or devices inserted into the vagin* to support the bladder. When these options don't work, surgery may be an option for women with bothersome stress incontinence.

How to fully empty a female bladder? ›

Techniques for Complete Bladder Emptying
  1. Timed voids. ...
  2. Double void. ...
  3. Drink plenty of fluids. ...
  4. Have a bowel movement every day. ...
  5. Comfort and privacy are necessary to empty completely. ...
  6. Leaning forward (and rocking) may promote urination.

What is the new procedure for bladder incontinence? ›

The surgeon creates a “sling” out of mesh or human tissue. Then they put it under the tube that urine passes through, called the urethra. The sling is like a hammock that lifts and supports your urethra and the neck of your bladder (where your bladder connects to your urethra) to help prevent leaks.

Does drinking more water help bladder leakage? ›

In other people with a painful bladder, the production of a more concentrated urine may be irritating to the bladder. In these patients, drinking more water can help incontinence due to decrease in the frequency of voiding and the amount of leakage.

Why am I not able to hold my urine as a woman? ›

Urinary incontinence is usually caused by problems with the muscles and nerves that help the bladder hold or pass urine. Certain health events unique to women, such as pregnancy, childbirth, and menopause, can cause problems with these muscles and nerves.

How to stop female urine leakage exercise? ›

10 ways to stop leaks Urinary incontinence
  1. Squeeze your pelvic floor muscles quickly – try not to pull your tummy in.
  2. Hold the squeeze for 2 seconds.
  3. Relax the muscles.
  4. Repeat 10 times.

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