Botox for Overactive Bladder:How It Works, Risks, and Who It Helps

The Vagina Doctor Podcast:

Botox for Overactive Bladder: How It Works, Risks, and Who It Helps

Duncan Turner MD discuss Botox injections as a treatment for overactive bladder and urge incontinence, prompted by a former patient who had excellent results and questions about dosing and injection placement. They explain that Botox is injected into the bladder muscle to reduce overactive contractions, is now FDA approved and generally covered by insurance, and is increasingly used by urologists via cystoscopy, though it can also be done with a transvaginal approach guided by anatomy and ultrasound. They emphasize potential complications, especially urinary retention that may require catheterization and can increase infection risk, so testing such as measuring post-void residual bladder volume is recommended beforehand. Ideal candidates are those with severe urinary frequency or significant nighttime urination that disrupts daily life.

00:00 Introduction

00:05 Consultation Overview

01:04 How Botox Works

02:57 Side Effects & Risks

04:14 Testing & Ideal Patient

05:47 Prevalence & Impact

https://www.youtube.com/@thevaginadoctor