{"id":12860,"date":"2025-08-14T10:15:49","date_gmt":"2025-08-14T14:15:49","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/bulkamid\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"bulkamid","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/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-12860","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments"],"acf":{"gt-definition":"<p>O Bulkamid \u00e9 um hidrogel de poliacrilamida (PAHG) transparente, injet\u00e1vel, n\u00e3o reabsorv\u00edvel e implantado de forma permanente, utilizado como agente de preenchimento uretral para o tratamento da incontin\u00eancia urin\u00e1ria de esfor\u00e7o (IUE) em mulheres adultas.<sup>1<\/sup> \u00c9 composto de poliacrilamida reticulada (2,5% p\/p) e \u00e1gua (97,5% p\/p), sendo fornecido est\u00e9ril em seringas pr\u00e9-preenchidas de 1 mL.<sup>2<\/sup> O Bulkamid atua adicionando volume \u00e0 parede uretral por meio de inje\u00e7\u00f5es na submucosa uretral, criando um efeito de amortecimento que ajuda a evitar a perda de urina durante atividades f\u00edsicas.<sup>3<\/sup> O hidrogel mant\u00e9m seu volume ao longo do tempo sem causar rea\u00e7\u00f5es no tecido circundante, oferecendo uma op\u00e7\u00e3o de tratamento duradoura para mulheres com IUE.<sup>4<\/sup><\/p>","gt-synonyms":"Hidrogel de poliacrilamida (PAHG), agente de volume uretral (UBA), sistema de volume 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>O Bulkamid Urethral Bulking System \u00e9 indicado para inje\u00e7\u00e3o uretral no tratamento da incontin\u00eancia urin\u00e1ria de esfor\u00e7o (IUE) decorrente de defici\u00eancia esfincteriana intr\u00ednseca (DEI) em mulheres adultas que apresentam IUE ou incontin\u00eancia mista com predom\u00ednio de esfor\u00e7o.<sup>1<\/sup><\/p>\n    \n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes normalmente incluem mulheres com IUE comprovada que n\u00e3o obtiveram sucesso com tratamentos conservadores.<sup>2<\/sup> O procedimento \u00e9 particularmente adequado para mulheres que buscam uma alternativa minimamente invasiva \u00e0 cirurgia, para aquelas com comorbidades que aumentam os riscos cir\u00fargicos ou para pacientes com falha de cirurgias anti-incontin\u00eancia pr\u00e9vias.<sup>3<\/sup><\/p>\n    \n    <p>O processo de implante cir\u00fargico envolve a inje\u00e7\u00e3o do hidrogel na submucosa uretral utilizando um dispositivo especificamente projetado, sob orienta\u00e7\u00e3o cistosc\u00f3pica.<sup>4<\/sup> Normalmente, s\u00e3o administradas 3-4 inje\u00e7\u00f5es de forma circunferencial ao redor da uretra para criar um efeito de amortecimento que ajuda a evitar a perda de urina.<sup>5<\/sup> O procedimento pode ser realizado sob anestesia local, geralmente leva aproximadamente 10-15 minutos, e as pacientes normalmente podem retomar as atividades normais em at\u00e9 24 horas.<sup>6<\/sup><\/p>\n    \n    <p>Estudos cl\u00ednicos demonstraram taxas de sucesso do tratamento que variam de 46-60% em diversos intervalos de acompanhamento, de menos de 1 ano a 7-8 anos ap\u00f3s o tratamento.<sup>7<\/sup> Aproximadamente 60% das pacientes podem precisar de uma segunda inje\u00e7\u00e3o para obter resultados ideais.<sup>8<\/sup> Os eventos adversos s\u00e3o geralmente pouco frequentes e, em sua maioria, transit\u00f3rios, incluindo dor no local da inje\u00e7\u00e3o (cerca de 12%), reten\u00e7\u00e3o urin\u00e1ria aguda transit\u00f3ria (cerca de 6%), infec\u00e7\u00e3o do trato urin\u00e1rio (cerca de 3,5%) e hemat\u00faria.<sup>9<\/sup> Nenhum caso de eros\u00e3o ou migra\u00e7\u00e3o do produto foi relatado em estudos de longo prazo.<sup>10<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":88},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.8 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bulkamid: Tratamento Minimamente Invasivo da Incontin\u00eancia | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre Bulkamid, gel de poliacrilamida para inje\u00e7\u00e3o periuretral no tratamento da incontin\u00eancia urin\u00e1ria de esfor\u00e7o. 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