What is Urolastic?

Urolastic is an injectable implant used for the treatment of Stress Urinary Incontinence (SUI) in women. Urolastic is composed of a rubber-like material (PDMS) displaying tissue-friendly properties, in other words, very biocompatible. The material is injected in liquid form into the area around the urethra forming within minutes into a rubbery substance. This substance will not be resorbed by the body in contrast to other injectable products.

This ensures that there is less material that needs to be introduced into the body in order to achieve a good effect. In addition, Urolastic’s effect is long lasting due to its non-resorbable properties and therefore achieves a better effect than the conventional products used for treatment of stress incontinence.

How does Urolastic work?

Urolastic is an injectable implant used for the treatment of Stress Urinary Incontinence (SUI) in women. Urolastic is composed of a rubber-like material (PDMS) displaying tissue-friendly properties, in other words, very biocompatible.The material is injected in liquid form into the area around the urethra forming within minutes into a rubbery substance. This substance will not be resorbed by the body in contrast to other injectable products.

This ensures that there is less material that needs to be introduced into the body in order to achieve a good effect. In addition, Urolastic’s effect is long lasting due to its non-resorbable properties and therefore achieves a better effect than the conventional products used for treatment of stress incontinence.

Which type of incontinence is Urolastic suitable for?

Urolastic is ideal for treating stress urinary incontinence in women.

Is Urolastic a surgical procedure?

Although the Urolastic procedure is usually carried out in hospitals under operative conditions, it can be considered as an outpatient procedure. The patient is not sedated and only a local anaesthetic is needed for the procedure, for this reason the procedure can also be perfomed at a clinic.

What are the benefits of Urolastic?

Urolastic is the first injectable implant to achieve long-term results. Until now only implants made from resorbable materials have been used to treat SUI, which deteriorate their effectiveness over time and required repeated procedures. Urolastic is produced from a long lasting, non-resorbable, tissue-friendly material. Despite the material being non-resorbable, it will not attach to the surrounding tissue, which makes it easy to remove if required; another major advantage.
With this procedure, there is no need for hospitalization and the patient can resume daily activities quickly. In almost all cases, the patient can go home immediately after the procedure.

Is Urolastic the right solution for me?

If you suffer from stress incontinence, it is likely that Urolastic is the right solution for you. However, your specialist is the proper person to determine this. By asking the appropriate questions and performing some simple tests, your specialist can determine whether Urolastic is the best treatment for you.

Are there any conditions or reasons why Urolastic may not be applied?

Urolastic should not be used if you have an infection in your urinary tract, bladder, vagina, or kidneys. It is also possible that a doctor might consider other reasons why a Urolastic procedure may be unsuitable for an individual patient. This could include damage to your urinary tract and/or related tissues.

Can Urolastic have any side effects?

As with any medical procedure, there are risks of certain side effects. The most common side effects include: pain after the procedure and/or during urination, small amounts of blood in your urine, retention and urgency to urinate. In most cases, these are relatively easy to solve for side effects.

Will the Urolastic treatment be reimbursed?

This depends on the country you live in. In most countries this procedure is reimbursed.

To know this certainly please contact either your hospital or specialist.

What is Prolastic?

Prolastic is an injectable bulking agent used for the treatment of Stress Urinary Incontinence in men. Prolastic is composed of a tissue-friendly material. The liquid material is injected in the area around the urethra, where it forms a flexible substance in minutes. Unlike other bulking agents, the substance is not resorbed by the body. This allows for a sound bulking effect with less injected material. In addition, Prolastic’s effect is long lasting due to its non-resorbable properties.

How does Prolastic work?

Prolastic is injected in two sites around the urethra during a short outpatient procedure. The sites are carefully selected and correspond with a 3 and 9 o’clock position to the urethra. This enables Prolastic to support the urethra and ensure that undesirable urine loss is significantly reduced or completely eliminated.

Which type of incontinence is Prolastic suitable for?

Prolastic is used for the treatment of stress urinary incontinence. Stress incontinence happens when you sneeze, cough, laugh, lift objects, or do anything that puts stress or strain on your bladder, causing you to leak urine.
Stress incontinence can happen when the prostate gland is removed. If there is damage to the nerves or the sphincter, the lower part of the bladder may not have enough support.
Prolastic provides the necessary support to the bladder’s sphincter, enabling it to remain closed and prevent urine loss.

What are the benefits of Prolastic?

Prolastic is the first injectable product to achieve long-term results. Most other injectables are made from resorbable materials, whose effectiveness deteriorates over time. Prolastic, however, is produced from a long-lasting, non-resorbable, tissue-friendly material, which results in a long-lasting effect. Prolastic will not attach to the surrounding tissue, making it easy to remove if so required.
In addition, you will not need to be hospitalized. This makes Prolastic a less stressful procedure, allowing you to resume your daily activities immediately.

Is Prolastic the right solution for me?

If you suffer from involuntary urine loss, Prolastic is likely to be the right solution for you. This must be determined by your doctor, who will ask you a number of questions
and perform some simple tests.

What is Ovalastic?

Ovalastic is a sterilisation method for women. During the procedure, the gynaecologist inserts a silicone rubber plug into both Fallopian tubes. The plug forms a barrier between the egg cell and sperm cell. The Ovalastic is a non-intrusive alternative to laparoscopic sterilisation. A general anaesthetic is not required. Immediately after the treatment you can leave the hospital and carry on with your daily activities. There are no wounds or scars, as the procedure utilises only natural access routes.

How reliable is Ovalastic?

This method used by Ovalastic has already been used for many years. Therefore extensive experience exists regarding this kind of product. No method of contraception is 100% safe. The chances of becoming pregnant post Ovalastic treatment are less than the prevailing standard of 0.8% for other types of contraception.

When will the Ovalastic sterilisation method be completely reliable?

Immediately post treatment an ultrasound of the Fallopian tubes will be performed, to check the positioning of the plugs. Three months after this, another ultrasound will be performed. During the ‘acclimatisation’ period of three months after instillation of Ovalastic, you are advised to continue using another form of contraception, for example the pill or condoms.

Will my monthly change after the treatment?

As the Ovalastic material does not contain any hormones, it exerts no influence upon either the monthly cycle or the menopause.

Does Ovalastic form scars?

No, it does not. As opposed to some alternative procedures, this method is not based on physical damage to the walls of the Fallopian ducts. And upon removal of the implant, the ducts will once again be open and free from any scar formation.

How long does an Ovalastic treatment take?

The treatment usually takes around 15 minutes. An ultrasound is performed post treatment, to ensure the correct positioning of the plugs. As the treatment is an outpatient procedure, you will be able to leave the hospital directly afterwards and can resume your daily activities immediately.

Can Ovalastic be removed?

Removing the Ovalastic plug from the Fallopian tubes is difficult. Once removed, the Fallopian tubes will again be open, however in many instances the internal mucous membrane no longer functions properly. This is because the transport of the egg to the womb is disturbed, making the chance of conceiving minimal. Opting for Ovalastic should therefore be considered as a choice for permanent contraception.

What are the side effects of an Ovalastic treatment?

In most cases, the Ovalastic treatment is performed problem free. You may feel a slight pain resembling menstrual pain for the first few hours after treatment and you may experience some vaginal bleeding in the first week. The risk of serious complications is minimal.

Is Ovalastic an alternative to the pill?

Despite the Ovalastic implant being relatively easy to remove, its effects cannot be described as reversible; unlike the pill. It is possible that after removal pregnancy may occur, however the chances of this happening will diminish over time, as the cilial hairs on the inner wall of the Fallopian ducts, responsible for transporting the egg cell, will degenerate. Therefore Ovalastic should not be considered as an alternative to the pill, or other temporary methods of contraceptives, but as a form of sterilisation.

Will I feel the Ovalastic implant after the treatment?

No, as the Ovalastic plug only weighs around 0.22 grams, you will not notice its presence after treatment. Besides, the Ovalastic material is very flexible and elastic, and moves in tandem with your body.

Is Ovalastic an alternative to the pill?

Despite the Ovalastic implant being relatively easy to remove, its effects cannot be described as reversible; unlike the pill. It is possible that after removal pregnancy may occur, however the chances of this happening will diminish over time, as the cilial hairs on the inner wall of the Fallopian ducts, responsible for transporting the egg cell, will degenerate. Therefore Ovalastic should not be considered as an alternative to the pill, or other temporary methods of contraceptives, but as a form of sterilisation.

Does Ovalastic contain hormones?

No, the Ovalastic material contains no hormones and therefore has no influence whatsoever on your monthly cycle or menopause.

Is Ovalastic suitable for treating a mentally disabled woman?

Treatment of mentally disabled women is subject to special approval procedures. Your GP will be able to supply you with further details. In the event that such a procedure receives approval, the treatment would, in most cases, be performed under a general anaesthesia.

At what age can I undergo the Ovalastic treatment?

Apart from some local legislation regarding age restrictions, there is no formal age limit. However, Ovalastic is a definitive method and is advisable only for women who have fulfilled their childbearing wishes and who are absolutely resolute in their intention not to have any (more) children.

Can I use Ovalastic if I have previously used a IUD?

Yes, normally this will not pose a problem with having an Ovalastic treatment. Your gynaecologist can provide you with more details.

Will the treatment be reimbursed?

This depends on the country you live in. For most countries there will be no reimbursement unless you have a supplementary insurance. Most insurance companies can offer this cover.

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