Bladder BOTOX®

When we think of BOTOX, the brand name of a therapeutic formulation of botulinum toxin, our minds almost always go to facial aesthetics and the elimination of wrinkles. While this is BOTOX’s most common and advertised benefit, the formulation has a therapeutic angle. BOTOX has been used for decades as a treatment for migraines and, yes, overactive bladder. 

How is BOTOX Injected?

BOTOX is injected at the office, in a procedure room, or at a surgery center using a cystoscope threaded up the urethra to the bladder. The appropriate amount of Botox is injected into the bladder muscle, and the procedure is complete. There is no significant downtime, nor are there any post-procedure considerations. Importantly, however, BOTOX is formulated with a milk-based protein binder. So, the patient should speak to Dr. Natale about their allergies or intolerances. 

How Does Botox Work to Minimize Overactive Bladder Symptoms?

Botox is a neuromodulator, meaning it decreases muscle function – in this case, by relaxing the bladder muscles using a benign version of a hazardous bacteria. By injecting BOTOX into the bladder, these muscles are weakened, reducing the frequency with which they contract. This improves the primary symptoms of overactive bladder, including the urge to urinate, urine leakage, and waking up at night to urinate, amongst other symptoms. However, it’s important to remember that bladder BOTOX is not a permanent solution, nor does it address the underlying problem. The goal is to give patients extra time to get to the bathroom, so they do not have embarrassing urinary leakage and do not have to change their habits or lifestyles to accommodate their urinary needs.

How Long Does Bladder Botox Last?

Bladder Botox kicks in as little as two days after injection and can last up to nine months. The benefits will steadily decline over this time as the BOTOX wears off. When patients feel their overactive bladder flaring up, they can schedule their next injection. 

Of course, any procedure comes with risks, no matter how minor, and these risks will be discussed during consultation with Dr. Natale should bladder BOTOX be the right option.