Macroplastique Injection

Anesthesia Implications

Position: Supine, arms at side on armboards
Time: 5-30 min (very short)
Blood Loss: Zero
Post-op Pain: Minimal (1-3)
Maintenance Paralytic: No

Anesthetic Approaches

  • Conscious Sedation
  • MAC
  • GLMA
The Surgery

This is a urethral bulking agent. The intrinsic sphincter has become deficient to stop the flow of urine, which is the culprit for primarily stress incontinence. This “bulks” the urethra and enables less effort/closure to stop the urine.