When do I need Botox injections to the bladder?

If you’ve ever had to stop the car or in the middle of a meeting to use the restroom even though you went to the loo only recently—you may have overactive bladder (OAB).  OAB is characterized by sudden, strong urge to empty your bladder that is difficult to control often accompanied by increased frequency and/or nighttime urination. It affects 12-17% of the Australian population. The prevalence increases with age. The good news is, there are treatment options available with one of the most effective being Botox.

How does Botox work for Overactive Bladder?

 In overactive bladder, the bladder muscles contract unpredictably and can lead to the sudden and frequent urge to urinate or leakage of urine. Botox is injected directly into the bladder to weaken the muscles of the bladder resulting in less urgency and leakage of urine.

Who might benefit from Botox Bladder injections?

•  Overactive Bladder (OAB):

Botox can be a helpful treatment option for individuals experiencing frequent and urgent urination, along with other OAB symptoms where conservative treatment failed.

• Neurogenic Bladder:

In cases of neurogenic bladder, where bladder control is affected by nerve damage, Botox is effective.

• Interstitial Cystitis (IC):

Botox can be considered for IC when other treatments have been ineffective.

• Incontinence:

Botox can help reduce the number of incontinence episodes and improve overall quality of life for those with urge incontinence.

Do you need anaesthesia for Botox injections to bladder?

Botox injections to bladder can be done in the clinic. You do not need general anaesthesia for Botox injections in the bladder. Before administering Botox injections, the specialist will fill your bladder with a numbing agent and may offer you a Penthrox analgesic (also called as Whistle anaesthetic) to help you remain relaxed and comfortable.

How is Botox injected into the bladder?

 This procedure is completed by passing a thin tube (Cystoscope) up your urethra and into the bladder. A needle is threaded down the cystoscope to complete the injections of Botox into the bladder wall. This is completed as an office procedure and most patients tolerate the procedure very well.

How effective Botox injections are?

Botox injections are effective in 80% of the women, meaning that urinary urgency and incontinence are either significantly improved or cured. The effects of the injections last up to 12 months and then your symptoms may start to return. You can have repeat injections if required. You can have repeat injections whenever you need them. Many women find that having repeat injections works well over many years.

When Should I see the Specialist?

 It is important to discuss the issue of overactive bladder or other bladder issues with your doctor especially if it disrupts your quality of life.

Here at Rockingham Women’s Health Centre, we are happy to help you. We will assess you and perform some tests to check the reasons for urinary problem. We can walk through Botox injections and other treatment options for overactive bladder.

Please contact Rockingham Women’s Health Centre on 0895918943 to schedule an appointment or www.rockinghamwomenshealth.com.au