BOTOX INJECTION OF THE BLADDER

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Hello everyone.. I’m a 74 year old male. I’ve survived 5 surgeries on my spine since 2006. As it turns out I have a neurogenic bladder from nerve damage to my spinal canal. Drugs don’t do anything for relief and on March 4th I had BOTOX Injections in my bladder. The procedure was basically painless and quick. This procedure is advertised as 95% successful. Well guess which side of the percentage scales I happen to fall? The 5%.! After the injection I started developing pain in my bladder when I had to urinate. I returned and was checked out and tested for how much I voided when told to empty my bladder. The figure came back as 525 and anything over 600 I would require a catheter. I’ve chosen to put off catheters as long as possible. Now I’m using the bathroom more often it seems and I am in this position until the Botox wares off or there is a possibility that it may improve, but it’s not likely. Since everyone’s body reacts differently to this procedure there are no such guidelines of when or what exactly I should be experiencing except the fact that it has been negative so far. Has anyone else had this procedure? And what has been your experience

 

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I had it, and basically the same as you, but I CIC too, or have a Foley, but with the Botox I ended up CIC 8 times per day! Yes, think it was 3 months, mostly with a Foley. I hope I don't have to have it again.

 

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I get Botox injections every four or five months. I can tell when it's wearing off because I start being able to empty my bladder fully without cathing - that's usually around the four month point. I'm right at three months now, and still retaining 150 ml most of the time. Considering that my bladder feels full at about 300, that leads to a lot of extra trips to the restroom if I don't cath.

On the other hand, I've found cathing to be a very minor annoyance. I end up having to cath seven or eight times a day, and I can do it in just a few seconds. It took a few days to get used to it, and after that it's been easy and painless. The worst part of it is that I have to make sure I have enough catheters with me - it's no fun to forget.

If the 525 they told you is milliliters of residual urine, I'm shocked that they don't have you using catheters already, since that's way too much residual volume. My urologist has told me that anything over 100 is too much. I'd ask your doctor about that - perhaps I'm misunderstanding the units they use, and at any rate I'm not a doctor and definitely not somebody you should be taking medical advice from!