Botulinum toxin injections into the bladder

What is this?

This is a procedure to stop the effects of an overactive bladder using a toxin injected into the wall of the bladder under local anaesthetic

What alternatives are there?

Drug treatment, bladder training, physiotherapy, bladder enlargement with a segment of bowel, urinary diversion into a stoma

What to expect before procedure

The procedure will be performed in London at the National Hospital for Neurology & Neurosurgery in Queen Square. You will usually be admitted on the day of your surgery. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse

What happens during the procedure?

The procedure is performed entirely under local anaesthetic and you will be given antibiotics to prevent infection in the urine. The botulinum toxin is injected with the aid of a flexible telescope (cystoscope) passed into the bladder via the urethra (water pipe).

After the procedure

You may experience some discomfort for a few days after the procedure but painkillers may be given to you to take home. The procedure is done on a day-case basis with a length of stay less than 1 day.

Potential side effects