A botulinum toxin bladder injection is a procedure to treat an overactive bladder. During the procedure, a drug called botulinum toxin is injected into the bladder through a long, thin needle. This drug relaxes the bladder muscles and reduces overactivity.
You may need this procedure if your medicines are not working or you cannot take them. The procedure may be repeated as needed.
Tell a health care provider about:
- Any allergies you have.
- All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Any problems you or family members have had with anesthetic medicines.
- Any blood disorders you have.
- Any surgeries you have had.
- Other medical conditions you have.
- Any previous reactions to a botulinum toxin injection.
- Any symptoms of urinary tract infection. These include chills, fever, a burning feeling when passing urine, and needing to pass urine often.
- Not being able to pass urine. If this happens, you may need to have your bladder emptied with a thin tube (bladder catheter).
- Urinary tract infection.
- Allergic reaction to the botulinum toxin.
- Pain or burning when passing urine.
- Damage to other structures or organs.
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- Follow instructions from your health care provider about eating or drinking restrictions.
- You may be given antibiotic medicine to help prevent infection.
- Plan to have someone take you home after the procedure.
What Happens During The Procedure?
- You will be asked to empty your bladder.
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to help you relax (sedative).
- A medicine to numb the area (local anesthetic).
- A medicine to make you fall asleep (general anesthetic).
- A long, thin scope called a cystoscope will be passed into your bladder through the tube that carries urine from your bladder (urethra).
- The cystoscope will be used to fill your bladder with water.
- A long needle will be passed through the cystoscope and into the bladder.
- The botulinum toxin will be injected into your bladder. It may be injected into multiple areas of your bladder.
- Your bladder will be emptied, and the cystoscope will be removed.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
- Do not drive for 24 hours if you received a sedative.
This information is not intended to replace advice given to you by your health care provider.