Treating Urinary Incontinence with Botox

For Medical Professionals

Treatment of Urinary Incontinence with Botox®

If you have female patients who are dealing with frequent urination, and they haven’t responded to traditional therapies and dietary and behavioral changes, a new treatment approved by the FDA in January 2013 could offer them a lasting, successful and minimally invasive solution.

Botox® (onabotulinumtoxinA) can be injected directly into the muscle of the bladder (detrusor muscle), reducing the overall contractility of an overactive detrusor muscle, thus increasing its storage capacity and decreasing urinary incontinence and frequency episodes. The injection is performed using a cystoscope and can be done with local anesthetic.

Although relatively well tolerated, about 10 percent of patients undergoing detrusor muscle Botox injections may experience temporary incomplete bladder emptying with resultant increased risk of urinary tract infection. Patients are counseled extensively on the use of Botox for overactive bladder and taught self-catheterization prior to the procedure. As the effect begins to wear off, the patient regains the ability to empty her bladder completely.

This process of interrupting the cycle of neuromuscular dysfunction can, over time, allow some patients to go 12 or as many as 24 months symptom-free — without repeat injections — despite the fact that the Botox effect is gone three months after injection.

At Swedish Issaquah, Botox injections are performed on an outpatient basis by Athena Urology & Urogynecology. Physicians who would like to learn more about this procedure or refer a patient should contact the Athena clinic: 425-392-8611.

More information from the FDA on Botox treatment for overactive bladders

More information on Athena Urology & Urogynecology

Watch the Video

In the video below, Julie LaComb, MD gives an overview of using Botox for female urinary incontinence.

Contact Information

Swedish Issaquah
751 NE Blakely Dr
Issaquah, WA 98029
Phone: 425-313-7000