Botox for Overactive Bladder

Botox (botulinum toxin) injections in the bladder are a treatment option for individuals with overactive bladder (OAB) that doesn't respond well to other forms of treatment, such as lifestyle modifications, behavioral therapies, or oral medications. This procedure involves injecting Botox directly into the bladder muscle, which temporarily paralyzes the muscles and reduces the symptoms associated with OAB. Please watch the following video to get more information about Botox for OAB.



Here are the risks and benefits associated with Botox injections in the bladder for overactive bladder:


  1. Symptom Relief: Botox injections can effectively reduce the symptoms of overactive bladder, such as frequent urination, urgency, and urge incontinence. This can significantly improve the patient's quality of life by reducing the need for frequent bathroom trips and the embarrassment of urinary leakage.
  1. Longer Duration of Effect: Botox injections in the bladder typically provide symptom relief for a longer duration compared to oral medications. The effects can last several months, with some patients experiencing relief for up to 6-12 months before needing another treatment.
  1. Minimally Invasive: The procedure is minimally invasive and is usually performed on an outpatient basis and in almost all cases done in the office in under 2 minutes. It involves using a cystoscope to guide the injection of Botox into the bladder wall, which reduces the need for extensive surgical incisions.
  1. Alternative for Non-Responders: Botox injections are considered when other treatment options have failed to provide adequate symptom relief. It provides an alternative for patients who have not responded well to behavioral therapies or oral medications.


  1. Urinary Retention: One of the potential risks is urinary retention, which means the bladder muscles are temporarily paralyzed to the point that urine is not able to be expelled from the bladder. This can require the use of a catheter to empty the bladder until the effects of the Botox wear off.
  1. Urinary Tract Infections (UTIs): Botox injections can increase the risk of urinary tract infections. The risk occurs due to the reduced ability of the bladder to effectively empty itself, creating an environment conducive to bacterial growth.
  1. Bleeding: Some patients may experience blood in the urine after the procedure. This is usually temporary and resolves on its own.
  1. Pain or Discomfort: Some patients might experience discomfort or pain during or after the procedure. This can be managed with pain medications and typically subsides within a short time.
  1. Incomplete Emptying: There's a possibility that the bladder may not empty completely after Botox injections, leading to residual urine and potential complications.
  1. Potential Need for Repeat Injections: While Botox injections can provide relief for several months, the effects are not permanent. Patients may need to undergo repeat injections periodically to maintain symptom relief.

Botox injections are an appropriate and safe treatment option for patients suffering from an overactive bladder. Please ask the Broward Urology staff about this option and if you qualify.

Want to Learn More?

Click here to read the brochure on Botox in OAB.

Click here to read a second brochure about Botox in OAB

Finally, you may visit the BotoxforOAB website for even more information.