22nd February 2018 geri

Neurogenic bladder overactivity improved with botulinum toxin A injections

What is an injection of Botox® into the bladder? This involves passing a small telescope into your bladder through your urethra (the tube that carries urine from the bladder to outside the body) and injecting between 10 and 20 injections of Botox® into your bladder wall from the inside.

Botox® is a muscle relaxant, which works by reducing uncontrolled contractions of the bladder muscle and increasing bladder capacity. This helps to improve the symptoms of overactive bladder.

What are the benefits – why should I have bladder Botox® injections? The aim of the injections is to reduce urinary symptoms such as urgency (sudden desire to pass urine which cannot be deferred), frequency (passing urine often) and urge incontinence (urinary leakage associated with urgency).

The effects of the Botox® usually take between three days to three weeks to appear, so you will not notice a difference immediately after the injections. Most patients find the effects of the injections last between six and nine months, although they can last longer. Repeated injections will be required each time the effects wear off.

All risks should be considered carefully.

Under a VHI PMI plan, you can have this procedure done as a day patient once referred by your consultant urologist  once a year for 100euro.


I am a C6 spinal cord injured lady three years post injury and I am living alone, working and doing day to day tasks with minimal assistance. This site is to offer friendly advice and support to newly injured spinal cord people and their families. From issues of exercise, transferring, personal grooming, clothes etc and showing ways of relearning day to day tasks we took for granted in the past. I will also provide links to products and services that I have found useful to my progress. Spinal cord injuries are so unique to each individual so remember what works for one person may not work for someone else but feel free to comment if you know about something that may have helped you in regaining some of your independence. Currently, I am a Masters in Research NUIG Graduate tutoring Health Science and Physiology students. Research area is Neuroscience. I also hold a first class honours degree in Physiology from NUIG with twelve years experience in quality standard adherence, GMP and GLP and two years experience working in a global healthcare organization. I have a problem solving mind focused on quality with proven team working skills. Please note: I am not a medic and you should always consult your GP or consultant first before trying anything suggested on this website. All SCI's are different and what works for me may not necessarily work for everyone, depending on different health issues.

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