Urethral injection – treatment of urinary incontinence with a filler preparation  

In answering the question „how to treat incontinence?”, it is worth considering both conservative and surgical options to find the most effective approach to the problem.

Urinary incontinence: definition and symptoms

Urinary incontinence is a condition that manifests itself as uncontrolled urine leakage. It can occur in a variety of situations, such as coughing, laughing or intense physical exertion. Both men and women can struggle with this problem, but it is much more common among women. The main symptom of stress urinary incontinence is: 

urinating during physical exertion, coughing or sneezing. The cause is a weakening of the pelvic floor muscles, which do not tighten the urethra sufficiently.

Stress urinary incontinence (SUI) is often associated with hormonal changes and weakened pelvic floor muscles in women. It is also worth noting that this condition can significantly reduce the quality of life of those affected and affect their psychological wellbeing.  

 Do you have a problem with urinary incontinence? 

Get rid of the problem with urethral injections. Call our patient care manager and make an appointment with a Medicus Clinic specialist.

Anaesthesia

 local or general 

 Treatment time 

 from 20 to 40 minutes 

Recovery

 1-2 weeks 

 Causes of urinary incontinence   

 The causes of urinary incontinence are truly diverse. The most common factor is damage to the ligaments responsible for controlling urinary excretion.   

 Primary causes of the condition include childbirth causing damage to the pelvic muscles, nerves or other structures that support the pelvis. 

 Other factors include hormonal deficiency during menopause, heavy physical work, being overweight, smoking, asthma or a congenital connective tissue defect. 

 It is worth emphasising that such a wide range of causes requires professionals and patients to have a thorough understanding of the situation. Identifying the specific cause is key to successfully treating patients with this condition.  

 Treatment methods for urinary incontinence   

 Treatment of stress urinary incontinence can be divided into two main groups: conservative and surgical methods. The conservative approach focuses on lifestyle changes and rehabilitation. For example:  

Weight reduction is extremely important, as excess weight increases pressure on the bladder, which can lead to difficulties with urinary control,  
Pelvic floor muscle exercises under the supervision of a physiotherapist, which strengthen the pelvic floor muscles, are an excellent way to improve this control,    
Pharmacotherapy, which can alleviate symptoms.  

Operative treatment of urinary incontinence is an important solution for those who have not improved through conservative methods.

Urinary incontinence treatment: urethral injection     

Urethral injection is an invasive procedure carried out under local anaesthetic, which involves the introduction of a substance to strengthen the urinary tract and improve its function.

The main aim of this procedure is to increase bladder control through structural support of the urethra. The injectable preparations vary in composition and properties, but their essential action focuses on: 

 an increase in the volume of tissue surrounding the coil,  
 better coil stability,  

 This treatment can be particularly beneficial for:  

women after childbirth, 
seniors with weakened pelvic floor muscles, 
patients with weak pelvic floor muscles.  

 Many people who opt for this procedure notice a significant improvement in their quality of life and a reduction in the frequency of episodes. The specialist will carefully assess the patient’s condition and help determine whether this method will be suitable in their case. It should also be borne in mind that the effects of the treatment may vary depending on the individual predisposition of the patient and the substance used.  

Periurethral injections – filling agents 

Filling agents are an innovative preparation used in the treatment of stress urinary incontinence.  Its main purpose is to increase resistance and improve urethral stability by injecting the substance into the sphincter area. As a result, patients gain better bladder control, making a significant difference to their comfort. Fillers are an effective therapeutic option for people struggling with incontinence who have not found relief with other available treatments. 

Filler preparation: effectiveness of treatment   

The effectiveness of fillers is moderate and mostly short-lived, which means that the effects of the treatment may not last very long. It has been noted in clinical trials that patients often experience improvements in bladder control.  

It is worth mentioning that the effectiveness of bulking agents can vary depending on the individual characteristics of the patient and the severity of the incontinence problem. Therefore, clinical trials play a key role in assessing the long-term effects of its use and its safety.

Urogynaecological consultation – rehabilitation and indications after injection surgery   

The post-operative consultation is extremely important in the treatment of stress urinary incontinence. Following this procedure, patients should see their urologist regularly for recommendations, for a so-called urological review, in order to avoid complications or infections.  
 Recovery after surgery focuses on pelvic floor muscle training and biofeedback, led by an experienced therapist. The aim of the recovery programme is: 

 improving bladder control, 
 an overall improvement in the urological health of patients.  
 Register for an appointment with a specialist at Medicus Clinic 

If you are struggling with incontinence – a treatment with a filler product can be effective. At Medicus Clinic, we provide modern treatment methods that combine advanced technology with an individual approach to the patient.