What Is Bladder Botox? Why Is It Done? Side Effects

Bladder Botox

What is bladder botox? why is it done? side effects of bladder botox and things to know about bladder botox.

Overactive bladder problem, which significantly affects the quality of life and emerges suddenly in the bladder muscles, causing the patient to go to the toilet urgently; It is seen in 17% of women and 15% of men. Botox, which is applied in the cosmetic field, is among the treatment options used for patients who cannot be successful with the use of drugs.

Botox is a purified protein that has been approved by the U.S. Food and Drug Administration (FDA) since 2002 to treat muscle spasms of various types. It works by temporarily blocking nerve signals to muscles, which relaxes them so they can't contract as strongly. Botox has also been used off-label for many years in urology settings to treat urinary incontinence.

How is the pre-operative preparation?

Blood thinners are discontinued 1 week in advance, and the patients are asked for tests for bleeding-coagulation time and other normal surgery. Preventive antibiotic treatment is started against infection before surgery.

How does Botox work on the bladder?

Normally, the bladder muscle is in a relaxed state, and this is how urine accumulates in the bladder. When the amount of urine and pressure in the bladder rises above a certain value, the bladder muscle contracts and the patient needs to urinate. In people with overactive bladder disease, there are involuntary bladder muscle contractions even at very low levels of urine and the patient needs to urinate constantly, if he is late, he will miss his urine.

When Botox is injected into the bladder muscle, the continuous contraction of the bladder muscle is prevented, in other words, a temporary paralysis occurs in the bladder muscle.

How is Botox injected into the bladder?

Botox application to the bladder takes approximately 45 minutes. A high resolution image of the bladder wall is taken with a kind of endoscope called a cystoscope and botulinum toxin (botox) is injected into the necessary places.

Other Things You Should Know About Bladder Botox

  • During the surgery, botox is performed under local anesthesia, spinal or short-term general anesthesia.
  • Patients stay in the hospital for 5-6 hours after the procedure and are discharged the same day.
  • After the procedure, the probe is usually not inserted. However, since some of the patients may be unable to urinate after botox, patients are expected to urinate, if they cannot, a short-term catheter can be inserted.

Side Effects of Bladder Botox

Bladder botox has no serious side effects or complications. As with any surgical procedure, problems such as slight bleeding and inability to urinate after the procedure may occur.

Other side effects that are not common but may still occur are:

  • Urinary tract infection
  • Blood in the urine
  • The amount of urine remaining in the bladder after urinating may increase


Although bladder botox is a good solution for urinary problems, you can try medication beforehand.
We wish you healthy days.

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