Urology Center of Englewood

Botox Bladder Injection

Urinary incontinence affects about 16 percent of women in America, according to the NIH. While the cause isn’t always known, pregnancy, childbirth and aging all contribute to its development, according to the agency. It is often treated with anticholinergic drugs that work through the nervous system to reduce contractions in the bladder that lead to leakage.

For people who suffer with a strong urge to pass urine that does not respond to simple drugs and medication, BOTOX injections can significantly relax the bladder easing such symptoms. It is a well tolerated procedure.

Botox has been approved by the FDA to treat urinary incontinence. “Urinary incontinence or leakage is often considered a taboo subject. Studies have shown that many patients are undiagnosed and undertreated because they are too embarrassed to talk to their doctor about their symptoms. Patients are injected across the bladder muscle using a cystoscope placed into the bladder via the urethra, a specialized tube with an optical lens at the end that is used to see inside the bladder.

Botox can be given either when asleep (‘general anesthesia’) or with the bladder made numb (‘local anesthesia’) Under a general anesthetic, a telescope examination of the bladder is performed (‘cystoscopy’). The telescope is passed through natural passage ways in the bladder, so there are no incisions. The bladder is examined carefully. Botox is injected into the bladder wall through a special needle passed through the telescope directly. The bladder is emptied afterwards.

Patients should notice a reduction in the urgency and frequency of going to the toilet to pass urine about 5 days after Botox has been given. If leakage occurred before Botox, there should be no leakage afterwards. The maximum benefit is obtained about two weeks after the administration of Botox and the total effect lasts for between four and nine months.