Articles · Bladder and leaks
Who is a good candidate for bladder Botox?
Bladder Botox may fit adults with overactive bladder or urge leaking who haven't done well with medicines.
Who it may fit
Bladder Botox may fit adults with overactive bladder or urge leaking who haven't done well with medicines.
The procedure
It's injected into the bladder wall in a two-to-three-minute procedure in our surgery centers, and it lasts several months.
Before you start
You should be able and willing to use a catheter if the bladder doesn't empty well for a while. An active UTI must be treated first.
When to ask about Botox
If you still have urgency and leaks on pills, ask whether Botox fits you.
Schedule your visit with Advanced Urology, with locations across metro Atlanta.
Questions to bring to your visit
- Which bladder medicines have I already tried?
- Am I able and willing to use a catheter for a while if needed?
What happens at your visit with us?
Expect questions about how often you go, how strong the urges feel and which medicines you have tried. We may check a urine sample for infection and check how well the bladder empties, and some people are asked to log their bathroom visits and drinks in a short diary first.
When should I call us?
Call us if urgency or leaks still shape your day after a fair trial of medicine, or if side effects made you stop taking it. Burning, fever or blood in the urine should be checked sooner, since an infection has to be cleared before Botox.
How do our urologists approach this?
Our urologists usually begin with habits and medicine, then talk about next steps such as Botox, sacral nerve stimulation (InterStim) or the Altaviva tibial implant. Botox goes in through a scope placed in the bladder, with no cuts, and the plan is shaped by how much the symptoms bother you.
Our urologists, physician assistants and nurse practitioners see adults from Alpharetta, Roswell, Milton, Crabapple and Mountain Park at our Alpharetta / Roswell office.
Related video
For a wider look at overactive bladder and its treatments:
Related reading from our team
Related care: overactive bladder care at our Alpharetta / Roswell office.
Read more from Advanced Urology: Botox injections for overactive bladder · Overactive bladder
For education, not medical advice. Every treatment has risks and benefits. Emergency? Call 911 or go to an emergency room.
Whenever you’re ready, our Alpharetta / Roswell team would be glad to hear from you.