Discovering Botox treatment for overactive bladder: its effects, duration and price

Overactive bladder is a common and treatable disorder that can affect the quality of life of those who suffer from it. If you are experiencing symptoms of overactive bladder, it is important to seek the care of a Urologist for a proper diagnosis and personalized treatment plan. Don't hesitate to talk to a health professional about your concerns and symptoms.

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What is overactive bladder?

The definition of overactive bladder according to the Spanish Association of Urology includes the presence of urinary urgency, with or without incontinence, often accompanied by an increase in urinary frequency, especially at night. Although it is not considered a medically serious condition, it has a significant impact on quality of life.

What is the cause of overactive bladder?

The exact cause of overactive bladder is not always easy to determine, as it can vary from person to person. However, there are several factors that can contribute to or trigger this condition. Some of the possible causes and risk factors include:

  • Bladder irritation: Chronic bladder irritation due to urinary tract infections, bladder stones, or tumors can lead to an overactive bladder.
  • Hormonal changes: In some women, hormonal changes related to menopause can increase the risk of developing an overactive bladder.
  • Urinary tract obstructions: Any cause that obstructs the normal flow of urine, such as an enlarged prostate in men or a narrowing of the urethra, can put pressure on the bladder and cause symptoms of overactivity.
  • Neurological damage: Injuries or diseases that affect the nervous system, such as stroke, multiple sclerosis, or spinal cord injuries, can interfere with proper signaling between the brain and the bladder, leading to an overactive bladder.
  • Intake of certain foods and drinks: Excessive consumption of caffeine, alcohol, spicy foods, artificial sweeteners, and carbonated drinks can irritate the bladder and trigger symptoms of overactivity.
  • Aging: Natural aging of the body can weaken the bladder muscles and increase the risk of an overactive bladder.

It is important to note that, in many cases, the underlying cause is multifactorial.

Symptoms of overactive bladder

Overactive bladder is characterized by several symptoms that affect urination control and can have a significant impact on a person's quality of life. The most frequent symptoms are:

  • urinary urgency: A sudden, intense feeling of needing to urinate.
  • Increased urinary frequency: Urinating more frequently than normal, sometimes even at night (nocturia).
  • Urinary incontinence: Involuntary loss of urine, which can range from small leaks to the inability to hold urine.
  • Pain or discomfort: Some people may experience pain or discomfort in the lower abdomen related to overactive bladder.
  • Anxiety or stress: Overactive bladder symptoms can lead to anxiety, stress, and a decreased quality of life due to constant worry about finding a bathroom or fear of incontinence in social situations.

What treatments are available for overactive bladder?

Treatment of overactive bladder is tailored to each patient's individual needs and can vary depending on the severity of the symptoms and the underlying cause. The main treatments are:

  • Changes in lifestyle:
    • Modify diet: Reduce or avoid foods and drinks that can irritate the bladder, such as caffeine, alcohol, and spicy foods.
    • Maintain a regular urination schedule: Going to the bathroom at scheduled intervals, even if you don't feel an urgency, can help train your bladder.
  • Medicines:
    • Anticholinergics: These medications help relax the bladder muscles, which may help reduce symptoms of urinary urgency and excessive urinary frequency.
    • Mirabegron: This medication can also increase bladder capacity.
  • Surgical procedures:
    • Botox in the bladder: In severe cases of overactive bladder that do not respond to other treatments, injections of botulinum toxin can be given into the bladder to relax the muscles and reduce urgency.
    • Sacral neuromodulation: A device is implanted in the body that stimulates the sacral nerves to regulate bladder function.

How is Botox treatment in the bladder performed?

Botox treatment in the bladder is usually performed under local anesthesia or regional anesthesia, such as spinal or epidural anesthesia. This ensures that the patient is comfortable and pain-free during the procedure. A cystoscope is then inserted through the urethra into the bladder and Botox is injected directly into the bladder wall in several locations. The procedure usually lasts around 15 to 30 minutes. After the procedure, the patient may be observed for a period of time to make sure there are no complications.

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How long does it take for Botox to take effect in overactive bladder?

The effects of Botox on the bladder usually begin to be noticed within a few days to a week after the procedure

How long does the effect of Botox on the bladder last?

The effects are temporary and generally last between 6 and 9 months, after which a new injection may be required if necessary.

Side effects of Botox treatment for overactive bladder

Botox treatment for overactive bladder can have side effects such as:

  1. Urinary retention: In some cases, Botox can cause a temporary decrease in the bladder's ability to contract effectively. This can lead to urinary retention. If it occurs, temporary use of a catheter may be required to drain urine from the bladder.
  2. Urinary tract infections: After the procedure, some people may develop urinary tract infections, which generally subside after antibiotic treatment.
  3. Pain or discomfort: Some people may experience pain or discomfort in the abdominal area or urethra after the procedure. This is usually temporary and can be relieved with pain relievers.
  4. Bleeding: There may be slight bleeding after the procedure, it is usually minor and resolves quickly.

Price of Botox treatment in the bladder

The price of botox treatment for overactive bladder can vary greatly from one patient to another, so if you want to know the price for your specific case, you can make an appointment with our specialists.

Specialists in overactive bladder treatment with Botox

If you are experiencing symptoms of overactive bladder, we encourage you to contact us and Schedule Appointment. In Ramirez Urology, our team of experts will be in charge of providing you with exceptional care and will seek the most appropriate and personalized solution for your specific situation.