Dr Arun


June 10, 2016 News

Botox injections can help overactive bladder symptoms in women ; not just for wrinkles

Botulinum toxin A, commonly known as Botox injections, best known worldwide for treating wrinkles and other cosmetic purposes. These injections are now approved for use in overactive bladder in Australia.

What is Overactive bladder (OAB)?

This is a condition in women when bladder contracts involuntarily too often or without warning leading to the constant urge to urinate and or leakage of urine. This is commonly referred as OAB.

What is the treatment for Overactive Bladder(OAB)?

In order to manage OAB, your doctor may recommend different types of treatments that work by calming the nerves and muscles around your bladder. These medicines are available in different forms, including tablets, patches, or liquids. Not all women get benefitted with this treatment. Some women may have tried more than two medications and cannot tolerate the side effects of the medications. These side effects may be dry mouth, constipation and lack of concentration and feeling drowsy. For these women, Botox injections to the bladder may be offered as a treatment.

What are Botox injections to the bladder?

Botox is a recently approved treatment for OAB that’s delivered via injection. It works by blocking the muscles and nerves that lead to a feeling of urgently needing to urinate. This involves passing a small telescope (cystoscope) into your bladder through your urethra (the tube that carries urine from the bladder to outside the body) and injecting between 10 and 20 injections of Botox® into your bladder wall from the inside. This helps to improve the symptoms of overactive bladder.


What are the benefits of Botox injections?


Botox is highly effective in relieving the frequency and urgency of needing to go to the toilet and reduces urinary incontinence in majority of women undergoing the injection.

For the majority of women, the beneficial effects are usually seen three to four days after the injection. The Botox injection is expected to last for six to twelve months, but this will vary for each woman.

For some women, a single treatment is all that is required: others will need repeated injections.

Any side effects?


Sometimes urinary retention occurs (inability or difficulty to empty your bladder). In other words, the botox inection works too well and women cannot pas urine on their own.

However, there is a small risk of you requiring to self catheterise (pass a tube/catheter in to the bladder yourself a few times a day) to empty the bladder.

Blood in your urine –This is usually minor and settles down without any treatment.

Urinary tract infection – Symptoms include increased frequency, pain or burning when passing urine and feeling unwell. This is treatable with antibiotics.

What happens after the treatment?


You can return to work the day after your Botox injection.

You will be seen in the clinic two weeks to one month after the injections.


For Treatment enquiries, please contact Dr Arun 

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