Botox in urology
- Overactive bladder
- Interstitial Cystitis / Painful bladder syndrome
The aim of Botox is to reduce the sensation of suddenly and urgently needing to pass urine. In patients with Interstitial Cystitis/ painful bladder syndrome, the aim is to alleviate some the pain and also to minimise the urgency.
This can be done under sedation or under local anaesthetic. A cystoscope is placed into the bladder via the urethra (where the urine comes out) and the muscle of the bladder is injected multiple times with the botox.
- The symptoms will return in 6 to 12 months (usually 9) as the botox wears off – close to 100%
- You may have blood in the urine and pain and stinging when passing urine – close to 100%
- The Botox will not help symptoms in about 10% of people
- There is a risk of getting a urine infection – about 15%
- There is a risk of having difficulty passing urine for a short time after the botox. About 4%
- Severe reactions occur in 0.05% of people which includes allergy to botox and generalised weakness.