Bulkamid for Urinary Incontinence

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.