If you suffer from an overactive bladder (OAB), urinary incontinence, urgency or frequency, it may be time to speak with your urologist about BOTOX®. BOTOX is a prescription medication that treats OAB and similar bladder issues.


Patients 18 years and older are able to use bladder BOTOX as a medicinal prescription for OAB. In this form, it is used as muscle and nerve relaxer. BOTOX may help by soothing nerves and thus preventing accidents as well as the need to urinate immediately. Patients also find they need to urinate less frequently after using BOTOX.

Before beginning BOTOX, your urologist should advise you to stop taking aspirin at least three days prior to treatment, and you may be given antibiotics to prevent a potential urinary tract infection.

The Process

A Jackson Urologist will first test you for a UTI before beginning BOTOX. The procedure may be completed in the Urologist’s office or in a more formal hospital. Once it is confirmed you do not have a UTI, you may be given a local anesthetic to numb your bladder. The doctor will then make multiple small injections in the bladder wall, totaling one hour’s time in the office. Most people only need the treatment twice a year, but each situation should be determined by your doctor.

During and after treatment

Bladder BOTOX injections should be treated as a minor, non-surgical procedure. Your diet and activity should resume as normal, and any antibiotics prescribed should be used until completion. The first few urinations may feel painful, though the pain should subside.

After as little as two weeks, you should notice your issues alleviate. Bladder BOTOX trials have found patients reduce the number of accidents by half by week 12.

Other uses

BOTOX is used for other disorders besides OAB. A Jackson urologist may prescribe BOTOX for hyperplasia, interstitial cystitis, chronic pelvic pain and premature ejaculation. Bladder BOTOX has been FDA and NCBI approved for OAB, though trials are still on-going for other uses. It can also be used for neurological issues not directly associated with an overactive bladder.