Periurethral Injections

Patients with urinary incontinence have a number of solutions that they can consider that are non-surgical. When patients visit Dr. Gandhi of Partners in Pelvic Health North Shore Urogynecology with concerns of incontinence, he may suggest a variety of treatments that can help-without the need for invasive procedures. This includes Kegel exercises, pelvic stimulation, pelvic floor trainers, electrical stimulation, and pessaries.

However, when patients are not experiencing successful results with these methods, other interventions may be considered. Dr. Gandhi of Partners in Pelvic Health North Shore Urogynecology understands that his patients want a solution to their condition to improve their quality of life, and offers optional treatments when appropriate.

We use a Align R Mid-Urethral Sling. This sling provides retention of the bladder to reduce the problems associated with stress urinary incontinence. A consultation appointment and examination with Dr. Gandhi of Partners in Pelvic Health North Shore Urogynecology is the best way to determine the most appropriate solution for a patient's specific medical needs. In many instances, non-surgical options may be considered before surgery is chosen.

Periurethral injections are performed on patients struggling with:
  • Mild stress incontinence
  • Urge incontinence
  • Mixed incontinence (urge and stress)
These injections are performed in the office under local anesthesia as a fast and simple outpatient procedure. Using a cystoscope, Dr. Gandhi administers the injections and offers precise placement for optimal results. Patients are encouraged to avoid excessive physical activities for 48 hours after injections. Patients may experience mild pain at the injection site, but this is minor, and it should diminish 24 hours after the procedure.

Common periurethral injectables include:
  • Macroplastique
  • Coaptite
  • Collagen
During the initial examination and consultation with a patient, Dr. Gandhi discusses the benefits of each injection, and he explains what can be expected before, during, and after treatment. Patients find that injections can help as a short-term solution, and can be performed regularly to maintain results. This minimally invasive procedure can address mild stress incontinence and other bladder leakage with fewer risks than the alternatives.

Injections can assist patients in reducing the concerns they have with their urinary incontinence, and can completely change lives for the better. Dr. Gandhi of Partners in Pelvic Health North Shore Urogynecology offers periurethral injections along with surgical treatments for the treatment of bladder leakage.