Bladder botox injection is a brief office procedure usually done under light sedation. It involves placing a cystoscope into the bladder and injecting botox into numerous sites in the bladder via a needle that fits through the cystoscope. The entire procedure takes about 10 minutes.
How to Prepare and What to Expect After
How to prepare for your bladder botox injection and what to expect after the procedure:
Stop blood thinner medications one week before botox injection
Start antibiotics 2 days before and continue for 2 days after
You may experience blood-tinged urine, burning with urination and pelvic pain for a day or so after the procedure.
You may experience difficulty urinating and feel that you are not emptying completely. If so, you may require a catheter or learn how to do self-catheterization temporarily.
It may take 1 -2 weeks to notice improvement. So although botox is highly effective, results may vary from patient to patient.
A follow-up appointment with urinalysis and check of the post-void residual volume (how much urine is left in the bladder after voiding) will be scheduled for two weeks.
Botox should last 6-9 months or so. After the improvement wears off, the injection can be repeated. If ineffective or only partially effective, the botox dosage can be increased.