Botulinum Toxin for Overactive Bladder

While often thought of as a use for wrinkles or cosmetic procedures, Botulinum toxin (more commonly known as Botox) can also be used to relieve urge urinary incontinence or an overactive bladder. The procedure is typically covered under most insurance plans, including Medicare, when used for this indication.

Botox is frequently used to treat patients with urinary incontinence symptoms who have not found relief from behavioral and lifestyle changes and trialed medications.

How is Botox used to treat bladder conditions?

Botox can be injected into the bladder wall to relax the bladder, relieving the urge to urinate caused by urge incontinence or an overactive bladder. Botox injections in the bladder can often be done in a doctor’s office with a local anesthetic.

When does Botox for urinary incontinence begin working and how long does it last?

Botox injections in the bladder do not have immediate effects. Patients receiving this treatment may see relief in several days to a few weeks.

Each patient’s case is unique, and some may experience longer relief than others. This treatment typically provides relief for three to six months before patients notice symptoms of urge incontinence start to return. A patient would then need to be reinjected, which is again a quick and easy procedure in the doctor’s office.

What are the risks and side effects of Botox injections for an overactive bladder?

Botox injections as treatment for urinary incontinence are typically well tolerated. Some patients experience burning with urination or blood in their urine the first few times they urinate after the procedure. Although uncommon, some patients may contract a urinary tract infection (UTI) afterwards or have temporary difficulty emptying the bladder.


Why choose NGPG Urogynecology?

NGPG is home to experienced providers you can trust to help you manage complex conditions and provide personalized treatments. Our urogynecologists see patients at two locations in Gainesville and Buford, providing easy access and scheduling for the care you need.

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To request an appointment or to ask questions regarding our urogynecology services, treatments and office locations, please complete our online form or call one of our office locations.