Botox® for urinary incontinence: what you need to know about this procedure

Urological problems can be called with absolute certainty one of the most delicate problems in medicine. Patients with bladder dysfunction often do not seek help from specialists for a long time, as they are very embarrassed about their problem, and they come to the doctor only when their condition and quality of life are significantly impaired. With the advent of new technologies in medicine, the common problem of urinary incontinence in urology is solved quickly and effectively. In this article, read about one of the most effective methods for solving the delicate problem – Botox® injections.

The article was written on the recommendations of the candidate of medical sciences, urologist of the highest category Dmitry Mikhailov.

Possibilities of Botox® in the treatment of urinary incontinence

About the possibilities of Botox® from Allergan in the treatment of urinary incontinence has been known to professionals and patients for several years. However, this particular method is one of the most innovative, as it allows you to solve a complex problem with just one injection procedure.

Botox® able to weaken the activity of the detrusor – the main muscle of the bladder, and thus solve the problem of urinary incontinence.

Minimal invasiveness, safety and high efficiency of this method make it one of the most popular methods of urinary incontinence treatment in urological practice.

Incontinence Treatment:
•    indications and contraindications for the use of Botox® in urology;
•    Steps of the treatment of urinary incontinence with Botox®;
•    results of treating urinary incontinence with Botox® injections.

Indications and contraindications for the use of Botox® in urology

Using Botox® for the treatment of urinary incontinence is indicated in patients with neurogenic detrusor overactivity as a result of a neurogenic bladder, as well as in idiopathic overactive bladder with symptoms of urinary incontinence. In these cases, Botox® injections can eliminate the patient's disturbing symptoms and significantly improve the quality of life.

However, it is worth noting that Botox® for the treatment of urinary incontinence is not recommended for such disorders of the bladder:

•    if you have a urinary tract infection at the time of treatment;
•    patients with acute urinary retention at the time of treatment who do not use catheterization regularly;
•    in the presence of stones in the bladder;
•    Patients who are unwilling or unable to initiate post-treatment catheterization, if necessary.
The above contraindications must be taken into account by the specialist when making a decision regarding the treatment of urinary incontinence with Botox®. .  

Steps of the treatment of urinary incontinence with Botox®

Urine incontinence treatment with Botox® injections performed in several steps:

•    before the procedure, a solution of sodium chloride is injected into the bladder, which is necessary for good visualization of the bladder during the procedure;
•    with idiopathic overactivity of the bladder, the recommended dose of the drug – 100 units-Allergan, 0.5 ml in 20 detrusor sites, and with neurogenic detrusor hyperactivity – 200 units-Allergan, 1 ml in 30 detrusor sites;
•    Reconstituted Botox® injected into the detrusor muscle using a cystoscope, avoiding the triangle and the bottom of the bladder;
• & nbsp;  the needle is inserted to a depth of approximately 2 mm into the detrusor, injections are performed at a distance of about 1 cm from each other;
•    for the last injection, approximately 1 ml of sterile sodium chloride solution must be injected to ensure the full dosage;
•     after injections, saline is drained if treatment for neurogenic detrusor overactivity was performed, or not drained until the patient himself is able to empty the bladder if treatment of idiopathic overactivity of the bladder was performed;
•     within half an hour after the procedure, it is necessary to observe the patient.

Clinical studies on the efficacy of Botox®® from

Allergan

shows excellent results in the treatment of urinary incontinence. Improvement in the condition of patients occurs already within 2 weeks after injections, and lasts, on average, for 166 days. If the clinical effect of the previous procedure decreases – the patient can be given repeated injections, but not earlier than three months after the previous injection of the drug. Injections of Botox® are a safe, effective and highly sought after treatment for urinary incontinence.

The procedure eliminates the unpleasant symptoms of bladder pathology and thus significantly improves the patient's quality of life. estet-portal.com thanks you for your attention!