Bladder Botox Injection
What is Botox?
Botox is the trade name for botulinum toxin – a drug produced from the bacteria Clostridium Botulinum. Botox has been safely used in medicine for many years and has been been used in the treatment of overactive bladder for over a decade. Botox has two actions in the bladder. Firstly it quietens down abnormal sensations from the bladder – reducing sudden urges and the frequency of toilet visits. Secondly it improves urge incontinence by reducing abnormal contractions of the bladder muscle (detrusor overactivity).
Who is Bladder Botox Injection suitable for?
Botox is a highly effective treatment for overactive bladder in both women and men. It is used for non-neurological (idiopathic) and neurological overactive bladder. It is particularly useful to treat overactive bladder symptoms that have not been improved by medication or when the side effects of these drugs are intolerable. Botox is sometimes used to treat interstitial cystitis/bladder pain syndrome.
How is Bladder Botox Injection performed?
The procedure is performed under local anaesthetic causing only mild discomfort and takes less than ten minutes. The bladder is first examined using flexible cystoscopy. Then a very fine needle is then passed through the telescope and several small injections of Botox are made into the bladder wall. If you wish you will be able to watch the procedure on a monitor.
What can I expect after Bladder Botox Injection?
You can leave the clinic less than one hour after your treatment. You should notice an improvement in your overactive bladder symptoms after a few days. Some mild discomfort whilst urinating is common after the procedure. You may see a small amount of blood in the urine. Occasionally some patients have difficulty passing urine after bladder botox injection. This problem is short lived and you will have been taught now to perform intermittent self catheterisation to help empty the bladder should it become necessary.
How effective is Bladder Botox Injection?
Randomised controlled trials have shown bladder botox injection to be both safe and very effective. After bladder botox injection you can expect relief from your overactive bladder symptoms for up to twelve months, after this time injections can be repeated and remain highly effective.