Intradetrusor (Bladder) Botox injections is a third line therapy for urgency related incontinence or neurogenic detrusor overactivity. During this procedure you will have a small catheter (tube) placed into the urethra. Through this tube, lidocaine (numbing medicine) will be delivered into the bladder and allowed to dwell for approximately 15 minutes. The introduction and removal of the catheter is simple, fast and does not cause pain.
Once the numbing medication has had time to take effect, a small scope called a flexible cystoscope, is placed into the urethra and enters the bladder. A small needle is passed through the scope and Botox is injected in several areas. This takes less than 10 minutes. After the procedure, the scope is removed and you can void to remove any fluid in your bladder.
The intradetrusor Botox is maximally felt at 2 weeks and can last between 4 and 9 months depending on the patient.
You will be asked to return to our clinic 2 weeks after the initial injection. During that clinic visit, we will ask you to void, after which we will perform an ultrasound on the bladder to see if you are retaining any significant portion of urine. We will also obtain a urine sample to ensure there are no signs of infection.
Patients tolerate this procedure well with minimal discomfort.
If you have ever experienced a little anxiety over trying a new procedure, we offer Pro-Nox, a safe relaxation method for cosmetic and urological treatments.