Question 1

What is urethral bulking?

Accepted Answer

Urethral bulking is a procedure in which a soft, biocompatible material is injected into the tissues surrounding the urethra. These injections help the urethra close more effectively, reducing or eliminating urine leakage during physical activity.

The goal of urethral bulking is to improve bladder control while preserving normal urinary function.

Question 2

Why is urethral bulking recommended?

Accepted Answer

Urethral bulking may be recommended for women who:

• Experience stress urinary incontinence
 • Leak urine with coughing, sneezing, laughing, or exercise
 • Prefer a minimally invasive treatment
 • Are not ideal candidates for surgery
 • Have persistent symptoms despite pelvic floor therapy or other conservative treatments

It can also be an appropriate option for women who wish to avoid longer recovery times associated with surgery.

Question 3

How is urethral bulking performed?

Accepted Answer

Urethral bulking is typically performed in the office or outpatient setting. A small camera or specialized instrument is used to guide precise placement of the bulking agent around the urethra. Local anesthesia is used to maximize comfort.

The procedure itself is brief, usually taking 15 minutes, and patients are able to go home the same day.

Question 4

Does urethral bulking hurt?

Accepted Answer

Most women tolerate urethral bulking very well. You may feel mild pressure or discomfort during the injections, but significant pain is uncommon. Any post-procedure soreness is usually minimal and temporary.

For patients who feel anxious about procedures or would like additional relaxation, Pronox (nitrous oxide) is available as an optional add-on.  Pronox helps reduce stress and discomfort during the procedure and wears off quickly once treatment is complete.  This is a self-administered option, allowing you to control your level of comfort throughout the procedure.

Pronox is offered as a cash-based service and is completely optional.  Many patients do well with lidocaine alone, while others appreciate the added calming effect, particularly during their first treatment.

Question 5

Will I need anesthesia or a driver?

Accepted Answer

Urethral bulking is typically performed with local anesthesia. You may be advised to bring a driver, especially if additional medications are used for comfort.

Question 6

How soon will I see results?

Accepted Answer

Many women notice improvement in leakage shortly after the procedure. In some cases, symptom improvement continues over several weeks as the bulking material settles. Results vary based on the severity of incontinence and individual anatomy.

Question 7

How long do the results last?

Accepted Answer

Urethral bulking can provide meaningful symptom relief, but results are not meant to be permanent. Most women will require repeat injections over time, typically every one to three years, to maintain optimal control. We discuss realistic expectations and long-term management during your consultation.

Question 8

What should I expect after urethral bulking?

Accepted Answer

After the procedure:

• You may return to normal activities within a day
 • Mild urinary urgency or discomfort may occur temporarily
 • You may be asked to avoid strenuous activity for a short period

Most women resume daily routines quickly with minimal downtime.

Question 9

Are there risks associated with urethral bulking?

Accepted Answer

Urethral bulking is considered very safe. Potential risks include temporary urinary discomfort, difficulty emptying the bladder immediately after the procedure, or urinary tract infection. Serious complications are rare.

Question 10

Who is a good candidate for urethral bulking?

Accepted Answer

Urethral bulking is well suited for women with stress urinary incontinence who want a non-surgical option or who are not candidates for more invasive procedures. A thorough evaluation helps determine whether urethral bulking is the best option for your specific symptoms and goals.

Urethral Bulking