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.

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