Overactive Bladder (OAB) is a common condition in women that causes urinary urgency, frequency and urge incontinence- the feeling of always having to go the bathroom and rushing to the bathroom but starting to leak before you can make it.
It is caused by the nerves controlling your bladder function to send signals to the bladder at the wrong time, causing it to spasm or squeeze without warning.
Typical treatments include:
- “Timed voids”: emptying the bladder on a schedule
- Pelvic floor exercises
- Avoiding bladder irritants such as caffeine, alcohol and spicy foods
- Anticholinergic medications which can cause dry mouth, constipation or blurred vision
Botox (onobotulinum toxix A) is now an option for those women with OAB symptoms that do not respond to medication or who cannot tolerate the medication side effects.
- It works on the nerves and bladder muscle cells, blocking the signals that cause OAB
- The Botox is injected into multiple areas of the bladder (detrusor) muscle through a cystoscope in the office under local anesthesia
- Most people feel a significant improvement in their symptoms within two weeks
- The effects last up to 6 months, and the treatment can be repeated as necessary
- It is covered by most insurance plans
Side effects include:
- Urinary tract infection (18%)
- Painful Urination (9%)
- Urinary retention (6%)- inability to completely empty our bladder
Botox is FDA approved and included in the American Urological Association guidelines for treatment of OAB. If you are frustrated by OAB symptoms, call us for an appointment to see if you might be a candidate for Bladder Botox Injections.