Urgency Urinary Incontinence due to overactive bladder may not always respond to conservative treatment such as life-style measures, pelvic floor exercises, bladder training and fluid management as well as medications that act to calm and relax the bladder muscles. In these cases, Botox® (onabotulinum toxin A) injections into the bladder wall is known to help in reducing as well as completely relieving the incontinence episodes.
Botox bladder wall injections are performed as an out-patient based procedure at Kent and Canterbury Hospital. This is a minimally invasive procedure involving the introduction of a flexible telescope into the bladder through the urethra after using local anaesthetic gel. Several minute injections of Botox are administered under vision with a fine needle passed through the telescope into the wall of the bladder. It takes about a week to notice the effect of the treatment and the injections may need to be repeated every six to twelve months.
Detailed information of this procedure test is available at: British Association of Urological Surgeons - Botox patient leaflet