Liao, B, Vodnala, S, Vu, K, Srinivasan, A, Farhan, B

Urethral Bulking Agent, Bulkamid, Male Stress Urinary Incontinence

Post-prostatectomy male stress urinary incontinence (SUI) is a common and debilitating complication. This video showcases the application of the Bulkamid urethral bulking agent system to address male SUI, exhibiting an off-label use since its approval is exclusive to women. To our knowledge, this video marks the inaugural publication demonstrating the application of Bulkamid in males with SUI. The agent is injected using a semi-rigid 20-gauge needle guided by cystoscopy close to the native external urinary sphincter. Our video makes the case that the use of Bulkamid agents presents as a feasible and efficacious alternative for treating male SUI, particularly in patients who are unsuitable or unagreeable to traditional surgical interventions.

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