Cystoscopy
with Contigen or Tegress Implant
Your physician has scheduled you for a Cystoscopy
with Contigen or Tegress Implant. This is an outpatient procedure performed
at The Continence Center, a department of Sarasota Memorial Hospital.
You probably have many questions about this procedure. The following
may help answer those questions.
What is a Cystoscopy with Contigen or Tegress Implant?
This is an outpatient procedure where the Urologist implants a paste-like
collagen material into the area of the urinary sphincter via cystoscopy.
This closes the sphincter thereby improving urinary incontinence
symptoms. The Tegress Implant does not require a skin test.
Things to do prior to your appointment:
One month prior to your appointment, your physician will have administered
a skin test to test for allergy to the Contigen Collagen. Please
report any redness, hardness or swelling to your Urologist should
it occur.
This procedure DOES NOT require that you fast prior to it. Feel free
to eat and drink as normal. You may also empty your bladder as needed.
The procedure will take place at The Continence Center which is located on the 4th floor of the Waldemere Medical Plaza. The nurses will register you and prepare you for the procedure.
What can I expect during the procedure?
You will be asked to change into a gown and empty your bladder. The
nurses will explain the procedure to you and ask for your informed
consent. History questions including medications and previous surgeries
will be asked.
You will be asked to lie on an examining table with your feet in
stirrups. The nurse will prepare you for the procedure. This includes
the passage of a xylocaine jelly into the urethra to desensitize
it. Depending on the physician, xylocaine may also be injected around
the urethra.
The physician will pass a small, lighted tube into the bladder to
visualize the urinary sphincter. He will implant the collagen or tegress around
this area, usually in several different places. The number of syringes
of collagen or tegress used varies from individual to individual, but may be
as many as six. You may feel some pressure as the collagen or tegress is implanted.
The entire procedure takes approximately 10-20 minutes.
What can I expect after the procedure?
After the procedure, you will be asked to empty your bladder. If
you cannot, you will be asked to get dressed and remain on the unit
(drinking water) until you are able to. In some instances, you are
unable to urinate after the procedure. In that case, a small catheter
is inserted and is removed in the urologist's office after 2 days.
You will be given a complete list of discharge instructions, which
usually includes 2-3 days of an antibiotic. You will follow up with
your physician in 2-3 weeks.
How many treatments will I need?
Many times one procedure is all that is needed. For those whose symptoms
are improved, but not totally corrected, a second procedure may be
scheduled in 6-8 weeks. There is no limit to the number of times
this procedure may be done.
For more information or for an appointment, please call The Continence Center:
Phone: (941) 917-2365
FAX: (941) 917-7132
Location: 1921 Waldemere Street, Suite 401, Waldemere Medical Plaza
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