1. < Kidney & Bladder

Botox for Overactive Bladder

Posted by slr123 @slr123, Mar 11 12:16pm

I had Botox bladder injections for Overactive Bladder (OAB) four months ago. It has worked phenomenally well. The beneficial effects seem to be slowly wearing off. I have an Interstim which no longer helps. Medications have had significant side effects. Has anyone experience with bladder Botox and if so how long do the effects last and how quickly do the OAB symptoms return?

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gently | @gently | Mar 11 7:44pm

sir123, 3 to 6 months. But sometimes after a few injections, it just calms down. The return of symptoms is usually gradual.

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codyboo | @codyboo | Mar 13 9:23am

I've gotten botox injections for cluster migraines since 2009 every 90 days and they literally save my life because the pain was so severe, I didn't want to live. I was going to start researching botox for overactive bladder myself. Does a urologist do the injections? I see a neurologist for the headaches. I was just DX in January and TURBT done 2 weeks ago at Mayo with mito treatment and stent in left ureter. Thanks in advance for your help!

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1 reply
slr123 | @slr123 | Mar 14 12:45pm
In reply to @codyboo "I've gotten botox injections for cluster migraines since 2009 every 90 days and they literally save..." + (show)
@codyboo

I've gotten botox injections for cluster migraines since 2009 every 90 days and they literally save my life because the pain was so severe, I didn't want to live. I was going to start researching botox for overactive bladder myself. Does a urologist do the injections? I see a neurologist for the headaches. I was just DX in January and TURBT done 2 weeks ago at Mayo with mito treatment and stent in left ureter. Thanks in advance for your help!

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Yes, Urologists do the injections at the time of a cystoscopy. It can be done as an outpatient. It generally takes two weeks to have a full effect. The primary risks are urinary retention and infection. It is usually reserved for patients that haven't responded or had side effects from medications for overactive bladder. Interstim implants can also be helpful. They require a two week trial period to see if they help before placing the implant.

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1 reply
codyboo | @codyboo | Mar 14 1:38pm
In reply to @slr123 "Yes, Urologists do the injections at the time of a cystoscopy. It can be done as..." + (show)
@slr123

Yes, Urologists do the injections at the time of a cystoscopy. It can be done as an outpatient. It generally takes two weeks to have a full effect. The primary risks are urinary retention and infection. It is usually reserved for patients that haven't responded or had side effects from medications for overactive bladder. Interstim implants can also be helpful. They require a two week trial period to see if they help before placing the implant.

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Wow so many things to learn about! Thank you for your help 🙂

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