Atrium Health Navicent Women's Care Urogynecology & Pelvic Surgery

Intradetrusor botulinum toxin injection

What is a botulinum toxin (BOTOX)?

Middle aged woman standing with her arms crossedBotulinum toxin (trademark BOTOX) is a neurotoxin that can be injected into the bladder wall muscle to treat overactive bladder, urinary urgency, urge urinary incontinence, and neurogenic bladder. It is an office procedure that involves a cystoscopy (procedure that allows the physician to evaluate the inside of the bladder and urethra) and injection of the BOTOX using a special needle.

How is the procedure performed?

You will be asked to provide a urine sample at the before the procedure to ensure you do not have a urinary tract infection. First anesthetic jelly is applied to the urethra and allowed to work for about 5 minutes. Additionally, some anesthetic is back-filled into the bladder to help numb the inside of the bladder. Afterwards Dr. Kow will place the cystoscope and evaluate your bladder and urethra. Next the BOTOX is injected into the bladder wall using a special instrument that is placed through the cystoscope.

How long does the procedure last?

Typically, urethral bulking agents can last up to 6-12 months. While this may vary with patient to patient, if symptoms return, you can speak with Dr. Kow about repeat injections.

Should I see results immediately?

Typically, results from a BOTOX injection will take effect in approximately 2 weeks. You will be asked to follow-up with Dr. Kow in approximately 2 weeks to reevaluate your symptoms.

How long does the procedure take?

Middle aged woman stands in a modeling poseOverall, the procedure takes about 15-20 minutes to perform. After the procedure is completed you will be asked to void to ensure you can empty your bladder adequately.

What are the risks?

Urethral bulking is a very low risk procedure. However with every procedure there always some risks. These risks include the following:

  • Urinary tract infection
  • Bleeding
  • Injury to the bladder or urethra
  • Temporary difficulty emptying the bladder

What should I expect afterwards?

We recommend drinking extra fluids over the next 24 hours. Occasionally patients may experience some temporary burning when they urinate or some blood tinged urine. If these symptoms persist past 24 hours, this could indicate an infection. If you have continued symptoms, you should contact Dr. Kow.

Will my insurance company cover BOTOX injections?

Most insurance policies will cover BOTOX injections. Our office will help you with obtaining prior authorization if your insurance policy requires it. If you have further questions, contact your insurance carrier to determine the details regarding your coverage.