Botox is an FDA approved treatment for overactive bladder (OAB), a condition affecting an estimated 33 million men and women.  It improves typical OAB symptoms including urinary frequency, urinary urgency and urinary incontinence due to urgency.  It is used as an advanced therapy for patients who do not respond to standard medical therapy. 

Botox is injected into the bladder through a cystoscope in a short outpatient procedure.  It is effective at treating OAB symptoms 70-80% of the time.  It is important to know that it may take up to 2 weeks to see improvement in your symptoms.  Also botox will wear off in 6-9 months and you will require periodic injections to maintain its benefits.

It is important to tell your urologist about any blood thinners you take, if you have any muscle or nerve disease or if you have a history of urinry tract infections.  Risks include bleeding, urinary tract infection, urinary retention which may require a temporary catheter or systemic absorption leading to muscle weakness or difficulty speaking or swallowing.

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