Botulinum toxin (trademark name 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’s an office procedure that involves a cystoscopy (a procedure that uses a camera to let your provider see the inside of the bladder and urethra) and injection of the botulinum toxin using a special needle.
Before the procedure, you’ll provide a urine sample to check for a urinary tract infection. Then, anesthetic jelly is applied to the urethra. Additionally, some anesthetic is injected into the bladder to help numb the inside of the bladder. After everything is numb, your provider will use a cystoscope and evaluate your bladder and urethra. Next, the botulinum toxin is injected into the bladder wall using a special needle that’s placed through the cystoscope.
Typically, effects from this procedure can last up to 6 to 12 months. This may vary from patient to patient, so if symptoms return more quickly, speak with your provider about repeat injections.
Typically, results from an injection will take effect in approximately 2 weeks. You’ll be asked to follow up with your provider then to reevaluate your symptoms.
Botulinum toxin injections in the bladder are generally well-tolerated. However, with any procedure there are always some risks. These include:
For 24 hours after the procedure, we recommend drinking extra. 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, contact your provider.
Check your insurance plan benefits to see if your policy covers botulinum toxin injections. If it does, our office will help you get prior authorization if your insurance policy requires it. If you have further questions, contact your insurance carrier.