{"id":12028,"date":"2025-08-14T10:15:49","date_gmt":"2025-08-14T14:15:49","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/bulkamid\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"bulkamid","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/bulkamid\/","title":{"rendered":"Bulkamid"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[123],"glossary-product":[],"class_list":["post-12028","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments"],"acf":{"gt-definition":"<p>Bulkamid es un hidrogel de poliacrilamida (PAHG) transparente, inyectable, no reabsorbible y de implantaci\u00f3n permanente que se utiliza como agente de relleno uretral para el tratamiento de la incontinencia urinaria de esfuerzo (IUE) en mujeres adultas.<sup>1<\/sup> Est\u00e1 compuesto por poliacrilamida entrecruzada (2,5% p\/p) y agua (97,5% p\/p), y se suministra est\u00e9ril en jeringas precargadas de 1 ml.<sup>2<\/sup> Bulkamid act\u00faa a\u00f1adiendo volumen a la pared uretral mediante inyecciones en la submucosa uretral, lo que crea un efecto de amortiguaci\u00f3n que ayuda a evitar la p\u00e9rdida de orina durante las actividades f\u00edsicas.<sup>3<\/sup> El hidrogel mantiene su volumen a lo largo del tiempo sin provocar reacciones en el tejido circundante, lo que proporciona una opci\u00f3n de tratamiento duradera para las mujeres con IUE.<sup>4<\/sup><\/p>","gt-synonyms":"Hidrogel de poliacrilamida (HAP), Agente de carga uretral (UBA), Sistema de aumento de volumen uretral Bulkamid\u00ae","gt-citation":"[1] Hoe V, Yao HH, Gough K, O'Connell HE. Long-term outcomes of polyacrylamide hydrogel treatment in women with stress urinary incontinence. BJU Int. 2022 Mar;130(3):388-395. DOI: https:\/\/doi.org\/10.1111\/bju.15717\n\n[2] U.S. Food and Drug Administration. Summary of Safety and Effectiveness Data (SSED): Bulkamid. 2020 Jan 28. Available from: https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf17\/P170023B.pdf\n\n[3] Sokol ER, Karram MM, Dmochowski R. Efficacy and Safety of Polyacrylamide Hydrogel for the Treatment of Female Stress Incontinence: A Randomized, Prospective, Multicenter North American Study. The Journal of Urology. 2014 Sep;192(3):843-849. DOI: https:\/\/doi.org\/10.1016\/j.juro.2014.03.109\n\n[4] Contura International A\/S. Bulkamid: A long lasting treatment for stress urinary incontinence. 2021. Available from: https:\/\/www.bulkamid.com\/patients\/what-is-bulkamid\/","gt-clinical-context":"<p>El sistema de relleno uretral Bulkamid est\u00e1 indicado para su inyecci\u00f3n uretral en el tratamiento de la incontinencia urinaria de esfuerzo (IUE) debida a deficiencia esfinteriana intr\u00ednseca (DEI) en mujeres adultas con IUE o con incontinencia mixta con predominio de esfuerzo.<sup>1<\/sup><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes suelen incluir a mujeres con IUE demostrada en las que han fracasado los tratamientos conservadores.<sup>2<\/sup> El procedimiento resulta especialmente adecuado para las mujeres que buscan una alternativa m\u00ednimamente invasiva a la cirug\u00eda, para las que presentan comorbilidades que aumentan los riesgos quir\u00fargicos o para las pacientes en las que han fracasado cirug\u00edas antiincontinencia previas.<sup>3<\/sup><\/p>\n    \n    <p>El proceso de implantaci\u00f3n quir\u00fargica consiste en inyectar el hidrogel en la submucosa uretral mediante un dispositivo dise\u00f1ado espec\u00edficamente para ello, bajo gu\u00eda cistosc\u00f3pica.<sup>4<\/sup> Habitualmente se administran 3-4 inyecciones de forma circunferencial alrededor de la uretra para crear un efecto de amortiguaci\u00f3n que ayuda a evitar la p\u00e9rdida de orina.<sup>5<\/sup> El procedimiento puede realizarse con anestesia local, suele durar aproximadamente 10-15 minutos y, por lo general, las pacientes pueden reanudar sus actividades normales en un plazo de 24 horas.<sup>6<\/sup><\/p>\n    \n    <p>Los estudios cl\u00ednicos han demostrado tasas de \u00e9xito del tratamiento que oscilan entre el 46 y el 60% en distintos intervalos de seguimiento, desde menos de 1 a\u00f1o hasta 7-8 a\u00f1os despu\u00e9s del tratamiento.<sup>7<\/sup> Aproximadamente el 60% de las pacientes pueden necesitar una segunda inyecci\u00f3n para lograr resultados \u00f3ptimos.<sup>8<\/sup> Los acontecimientos adversos son por lo general poco frecuentes y en su mayor\u00eda transitorios, e incluyen dolor en el lugar de inyecci\u00f3n (alrededor del 12%), retenci\u00f3n urinaria aguda transitoria (alrededor del 6%), infecci\u00f3n urinaria (alrededor del 3,5%) y hematuria.<sup>9<\/sup> En los estudios a largo plazo no se han notificado casos de erosi\u00f3n ni de migraci\u00f3n del producto.<sup>10<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":86},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bulkamid: Polyacrylamide Hydrogel for Female Stress...<\/title>\n<meta name=\"description\" content=\"Bulkamid es un hidrogel de poliacrilamida inyectable usado como agente de carga uretral para tratar de forma eficaz la incontinencia urinaria de esfuerzo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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