Urethral Bulking Injections

Who is a urethral bulking injection best for?

Urethral bulking injection is a minor procedure and is an option for all patients with stress incontinence.  It is particulary useful for ladies who are planning to have more children and ladies who are not fit for anaesthesia.

How are urethral bulking injections performed?

The procedure can be performed under general anaesthesia (asleep) or with local anaesthesia.  A tiny camera is inserted into the waterpipe (urethra) and three small injections of bulking agent are made into the urethral wall. The bulking effect improves the seal in the urethral wall therefore reducing urinary leakage. The bulking agent (Bulkamid) is a water based polymer which is safe and contains no silicone micoparticles and does not migrate. No catheter is required and you can go home straight after the procedure once you have passed urine.

Injection of bulking agent under urethral mucosa

What are the risks of the procedure?

Bulking injections are a low risk procedure.  There may be transient difficulty urinating which usually resolves spontaneously within a few days.

How effective are urethral bulking injections?

Bulking injections are not as effective rectus fascial sling or TVT procedures.  60% of ladies are cured or improved but in the longer term the procedure may need to be repeated. Buliking injections can be safely repeated if necessary after 3-6 months.

Contact Us

Sussex Bladder Clinic

The Michelham Unit

Eastbourne  DGH

Kings Drive

East Sussex

BN21 2UD


PA Tel: 01323 435846

Email: karen.traies@nhs.net