We treat an overactive or unstable bladder with Botox.
In January 2013, the U.S. Food and Drug Administration expanded the approved use of Botox to treat adults with overactive bladder, a condition that affects an estimated 33 million men and women in the United States.
Overactive bladder is a condition in which the bladder contracts too often or without warning. This can lead to an inability to store urine, resulting in urinary incontinence and feelings of urinary urgency. Overactive bladder is usually caused by neurological pathways being interrupted or diseased, and so appears in people with neurological conditions such as spinal cord injury and multiple sclerosis.
Injecting an overactive bladder with Botox can relax an overactive bladder, increasing its storage capacity and reducing episodes of urinary incontinence. We use cystoscopy, a procedure that allows us to see the bladder wall while Botox is being injected. While local anesthesia is required for cystoscopy, the whole procedure takes only about 20 minutes and is well tolerated. The treatment can be repeated when the effect wears off, but with a gap of at least 12 weeks between treatments.
Botox’s safety and effectiveness for this new indication were established in two clinical trials of 1,105 patients with symptoms of overactive bladder. After 12 weeks, patients treated with Botox experienced significantly less urinary incontinence than patients treated with placebo. Botox-treated patients also needed to urinate less per day and expelled more urine than those treated with placebo.
We can treat an overactive bladder with injections of Botox in if we can predict after urodynamic testing that it will respond to this therapy. We will also only recommend Botox as a treatment if you are not helped by, or cannot take, a class of drugs called anticholinergics.
If you are a candidate for this therapy and you qualify, the results can be dramatic and satisfying.
To make an appointment with Dr. Golden, in Spokane Valley, submit the contact form on this page, or call us at (509) 921-0099 today!