Botox for the Bladder!

Overactive bladder can be treated by diet modification, Kegel exercises, Pelvic Floor therapy, medications, Sacral Neuromodulation and for over 10 years now with botulinum toxin A. With a microscopic amount of Botox (such as for facial cosmesis) Botox can easily be injected into the bladder via the cystoscope in an office setting with minimal to no discomfort or pain. By blocking Acetycholine receptors the Botox can prevent unwanted contractions that is some cases may cause incontinence. The therapy can last 4-5 months before repeat injections are necessary. There is a saving of time, money and inconvenience compared to other therapies including medications and their side effects.

Vaginal Trigger Points/Pudendal Block/Botox Pelvic Pain Injections

Chronic Pelvic Pain, Painful Bladder Syndrome, Levator Ani Syndrome, Dyspareunia/Painful Intercourse, and Interstitial Cystitis are some diagnoses that can be debilitating. Pelvic Floor Therapy is an outstanding form of intervention that at times can be curative or at least greatly improve one’s symptoms. Occasionally, injections via the vaginal vault in the office can greatly improve the pelvic pain. Long-acting anesthestics and/or Botox into the Levator Ani /pelvic muscles or bladder can greatly improve pain as well as overactive bladder symptoms.