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Botulinum Toxin A (BTA) Botox



For Men and Women suffering from the embarrassing and distressing condition of anoveractive bladder the bladder muscle often contract at the wrong time, causing a desperate urge to pass urine. Often resulting in urinary incontinence or the inconvenience of having to visit the toilet frequently day and night. Botox injections work by reducing these bladder contractions. When simple bladder exercises and medication have not had the desired effect Botox injections may prove to be an effective alternative in helping alleviate the symptoms or even resolve the symptoms all together.

What is Botox?

Botulinum Toxin A (BTA) is a muscle relaxant derived from the bacterium Clostridium Botulinum. This bacterium has associations with botulism, a rare form of food poisoning, but can, like many toxic substances when used in small, controlled doses Botox provides asafe, and effective relief from a number of neuromuscular conditions. With effects that can last for several months

There are two forms of the botulinum toxin medicine, Botox and Botox Cosmetic. Botox is used to treat a growing number of medical problems. Botox Cosmetic is used in association with many cosmetic treatments, bothmay be simply referred to as Botox


How does Botox help?

Botox injectionsact on the sensory nerves within in the muscles surroundingthe bladder blockingthe nerve transmissions that cause these muscles to contract. This results in the muscular tissue relaxing sufficiently to stop the muscles of the bladder contracting inappropriately


How is Botox Administered?

Botox treatment for bladder over activity is a minimally invasive procedure, which may be carried out under a general or local anesthetic usually as a day case procedure

A very small hollow fiber optic tube (cystoscope) equipped with a camera is passed into the urethra (the tube that carries urine from the bladder to the outside of the body) to carefully examine the lining of the bladder and urethra.

Botox is then injected directly into the muscles surrounding the bladder. Via a special needle passed through the cystoscope About 30 injections are required to ensure the muscles relax sufficiently,


How effective is Botox?

Although Botox is not a cure for overactivity of the bladder. A reduction in the urgency and frequency of going to the toilet to passurine is normally achieved within a few daysafter the procedure.Maximum benefit is obtained after two weeks.The total effect lasts for around nine months but can last considerably longer. Repeated injections of Botox can be given once the effects have worn off.


Advantages of Botox

Botox treatment for bladder over activity is a minimally invasive procedure

Effective in treating the symptoms of Overactive Bladder About 85% of patients will notice an improvement in their symptoms after their first treatment

Disadvantages and side effects of Botox

Procedure may have to be repeated after a few months to maintain benefits.

Self catheterisation may be required due tothe bladder being temporarily be unable to completely empty this occurs in about 10% of people. Normal voiding normally returns after a few weeks.

Blood may be present in the urine after injections of Botox, as a needle penetrates the bladder wall. This will disappear after a few days.

An infection may develop

Very rarely allergic reaction to the Botox


Getting help

If you wish to make an appointment to seek further advice and or treatment, please contact Mr Ockrim’s secretary.


The information contained within this website has been provided as a general guide and should not be treated as a substitute for the medical advice of your own GP or any other health professional.