What to expect from treatment
BOTOX® can deliver Overactive Bladder (OAB) symptom improvement for up to 6 months.
Here's what you can expect with BOTOX® treatment:
Your treatment schedule should be discussed with your doctor.
The treatment procedure
If you and your doctor decide that BOTOX® is right for you, very often it can be administered right in the urologist's or urogynecologist's office. BOTOX® injections may be given in the office in as little as 1 hour for the entire process.
- 20 minutes to prep
- 10 minutes to administer BOTOX®
- 30 minutes for evaluation after the procedure
BOTOX® is injected in multiple areas of your bladder muscle through a small lighted tube called a cystoscope.
A cystoscope is a thin, lighted tube that provides access and visibility inside your bladder. Cystoscopy is a very common procedure, and while it may not sound familiar, there's a good chance you've already experienced a cystoscopy if your urologist or urogynecologist initially examined you to determine the cause of your bladder issues.
- Your bladder will first be numbed with lidocaine for a more comfortable treatment experience.
- Within an hour you can take the next step on your OAB journey.
You should not experience significant pain after treatment, although it may sting or burn when you urinate the first few times. You may also see some blood in the urine right after treatment.
Please read more about side effects and talk to your doctor about any concerns you may have.
Safety and side effects
Understand the risks as well as the benefits
It's always important to consider the potential side effects of any medication and equally weigh the benefits and risks with your doctor before making a decision.
The most common side effects after a BOTOX® treatment were:
- Urinary tract infection (18% vs. 6% with placebo)
- Painful or difficult urination (9% vs. 7% placebo)
- Temporary inability to empty your bladder, which may require the use of a self-catheter (6% vs. 0% placebo)
This is not a complete list of possible side effects. Please see the Important Safety Information including Boxed Warning, and talk to your doctor about any concerns you may have.
You should not receive BOTOX® if you:
- Currently have a urinary tract infection (UTI)
- Are not willing (or able) to use a disposable self-catheter if necessary
What you should know about self-catheterization:
The majority of people who receive BOTOX® for OAB do not need to self-catheterize.
- In fact, only about 6 out of every 100 patients in clinical studies of BOTOX® for OAB needed to self-catheterize.
If needed, self-catheterization is temporary.
- Sometimes it can become temporarily difficult to empty your bladder. Self-catheterization may be needed at this time.
A self-catheter is not like the kind you see in a hospital.
- It is much smaller, easy to use, and you use it by yourself.
- It fits in your purse or pocket (like the one pictured).
- It is ready to use when needed.
May not be the actual size. Sizes of catheters may vary.
Frequently Asked Questions
- What is Overactive Bladder? +
- What causes Overactive Bladder? +
- Is BOTOX® an effective medication for Overactive Bladder? +
- When can I expect to see results with BOTOX® for Overactive Bladder? +
- How long does BOTOX® last? +
- What about side effects? +
- Should I be concerned about getting a urinary tract infection? +
- What about the risk of retention? +
- What is a disposable self-catheter? +
- What if I’m not happy with the results? +
- Is BOTOX® covered by my insurance? +
- What is the cost of BOTOX® injections? +