Botulinum Toxin commonly available as BOTOX is a widely used drug for cosmetic concerns that has been FDA approved in Urology for detrusor overactivity. The drug is injected into various sites in the bladder muscle in cases where the muscle is hyperactive and contracts more than necessary leading to severe urinary symptoms like frequency, urgency and nocturia. You can read more about overactive bladder and neurogenic bladder in the linked articles within this website.
Botulinum injection is not a first step in management of symptoms of disease. It is usually administered when the symptoms are refractory to medication and the patients either does no want surgery or is unfit for the same. It can be injected in the following conditions:
When do we Inject Botulinum Toxin ?
Neurogenic Detrusor Overactivity
Interstitial Cystitis/Bladder Pain Syndrome
What is the duration of this procedure ?
Botulinum Injection procedure takes about 10-15 minutes. If it is performed under spinal anesthesia additional 10-15 minutes may be required for the anesthesia. The injection is made through a procedure called Cystoscopy
What is the duration of Hospital Stay ?
An observation period of 1-2 hours may be required after which discharge formalities can be executed.
What are side effects of this procedure ?
Side effects may depend upon the site of injection. Usually the side effects include mild burning in urine, mild blood tinge of urine, lower abdominal pain etc. Some patients may have retention of urine for which temporary urinary catheterization may be required. Other systemic side effects are very rare.
What are disadvantages of Botulinum Injection ?
The toxin paralyses the muscles and nerves only for a short duration of 6-9 months. Once the effect weans off additional dosage may be required to bring back relief.The other disadvantage is that this therapy is on the expensive side, and even though it is less invasive and expensive than other surgical options, the need of recurrent treatments may make it less patient friendly
Why choose Dr. Raman Tanwar for this treatment ?
- Certified Botulinum Expert
- Wide experience of Botulinum Injection in approved as well as off-label use
- Already benefited numerous patients with intractable symptoms
- Highly qualified team that can monitor and detect treatment related side effects