Here is where Botox comes into play. We can use Botox in the bladder to paralyze part of the bladder muscle to treat OAB as well as urge incontinence! Botox is easy injected into the bladder muscle through a small needle passed through a cystoscope, or a small telescope that is passed into the bladder through the urethra. This is an outpatient procedure and in some instances, can be done in the office.

Only a small portion of the bladder is injected, but it is usually enough to alleviate the OAB and urge incontinence. Unfortunately, like mentioned before, it only lasts about 3 months so the procedure needs to be repeated that often. This many be a good thing too, because sometimes, although rarely, the bladder get too paralyzed and a person will get urinary retention, and they can't urinate at all. I find I get very good results from this and it is definitely a good option for some people. Of course, you need to see a urologist and have an appropriate work up to determine if you are a candidate for this type of treatment, but I wanted to let you know there are options other than daily medications. See your urologist if this sounds like something you would benefit from.