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Intravesical Botox for Overactive Bladder

Bladder Botox for Overactive Bladder

Contrary to popular belief, Botox is not just for fixing wrinkles and treating migraines. In fact, Bladder Botox is an FDA-approved therapy to treat Overactive Bladder (OAB) and Urge Urinary Incontinence (UUI).

Dr. Dhir has been performing Bladder Botox for over a decade with tremendous results – the procedure takes under 5 minutes and is very well tolerated with minimal side effects.

Going through life while experiencing an uncontrollable urge to urinate (with or without messy accidents) can be incredibly stressful and embarrassing. It can be difficult to gauge when it will happen and this leads many to avoid running errands, going to public events, or even taking a flight to visit loved ones. Fortunately, this issue can be treated with Bladder Botox.

What is Bladder Botox?

OAB is a condition characterized by frequent trips to empty the bladder, the uncontrollable urge to urinate, and the need to urinate numerous times while disrupting sleep. It often occurs in conjunction with UUI – when the urgency causes a bladder spasm, leading to incontinence episodes.

Botox is a drug derived from a bacterium that paralyzes nerve fibers temporarily. In the case of Bladder Botox, multiple injections specifically target the bladder muscle to “calm” its function. This results in the ability to hold the bladder for longer periods of time, decreases frequent trips to the bathroom, minimizes urinary leakage, and improves sleep patterns. Results can be life-changing!

Candidates for Intravesical Botox

Bladder Botox is a useful solution for those with OAB (with or without urge urinary incontinence). Most patients have already failed daily medications and pelvic floor physical therapy.

In general, medications are not ideal for OAB treatment as they have harmful side effects like dry mouth, constipation, elevated blood pressure, and even early-onset dementia. Pelvic floor therapy may help but rarely is curative.

During consultation, Dr. Dhir will perform a comprehensive medical history and physical examination. He will analyze your urine specimen to rule out infection or excessive sugar levels, check a “bladder scan” to ensure you are emptying your bladder completely, and will rule out other potential diagnoses.

How is the Procedure Performed?

To begin, you will be asked to empty your bladder and a nurse will clean the skin surrounding the urethra with a mild antiseptic solution. Dr. Dhir will then flush the bladder with local anesthesia using a catheter (narrow tube) to numb the bladder. If desired, general or IV sedation can also be arranged for patient comfort.

A tiny scope is passed through the urethra and into the bladder. A small needle is inserted through the scope and Botox is injected into the muscle of the bladder in a grid-like fashion. The procedure takes about 5 minutes. Bladder Botox usually takes effect in 10 days and the results typically last for 6 months.

Risks or Complications

There are very few instances of Botox causing any major complications. Mild bleeding and urinary tract infection occur infrequently. Urinary retention, or the inability to completely empty your bladder, may occur in ~3% of patients; this side effect is temporary and can be avoided by limiting the amount of Botox injected.

Contact Our Office

Dr. Dhir is dedicated to helping improve the quality of life of his patients through innovative procedures. If you’re interested in learning more about Bladder Botox, please do not hesitate to contact our office to schedule your informative consultation today.