Bladder BOTOX ® is the next level of treatment for patients who have tried behavioral therapy, medications and pelvic floor rehabilitation. The goal of bladder BOTOX® therapy is to decrease urinary incontinence and frequency and relieve bladder spasms to restore quality of life for men and women who suffer from overactive bladder or urinary incontinence.

BOTOX® injections are used in a variety of medical treatments from cosmetic dermatology to treatment for migraines. BOTOX® is an FDA-approved treatment that uses Botulinum A toxin to temporarily paralyze muscles. In urology, BOTOX® is a widely accepted treatment option for patients with overactive bladder and urinary incontinence and Blue Ridge Urological offers bladder BOTOX®therapy right here in our office under local anesthetic.



BOTOX® is a derivative of botulinum toxin which is used to temporarily weaken or paralyze muscles and prevent them from contracting. When the muscles of the bladder are in a more relaxed state, you will be able to get to the bathroom when you need to urinate. This therapy is particularly helpful in treating spastic bladder, overactive bladder and urinary incontinence.

During the procedure, a local anesthetic is placed in the bladder through a catheter to numb the lining of the bladder. Once the numbing agent has taken effect, a small scope with a camera is inserted into the bladder through the urethra and your doctor will administer a series of BOTOX® injections into the muscle of the bladder. Bladder BOTOX® is a well-tolerated therapy for treating moderate to severe cases of overactive or spastic bladder and the treatment usually lasts for 6-8 months before the next injections are needed. Patients can begin to experience relief of symptoms as early as one week after injection treatment.


Many patients express that bladder BOTOX® therapy is a life-changing treatment option for overactive bladder and urinary incontinence. Some of the many benefits of bladder BOTOX ® therapy include:

  • Safe and effective treatment to manage overactive bladder

  • Lasts 6 months to a year before repeat treatment is needed

  • Consistent effect over time

  • Improves quality of life

  • Significant drop in daily incontinence episodes

  • Minimal side effects

If you have moderate to severe symptoms of overactive bladder or urinary incontinence, Blue Ridge Urological can help. Before receiving bladder BOTOX® therapy, one of our board certified urologists will explain how the botox treatment is administered and what you can expect during the procedure. You will receive an antibiotic to start 1 to 3 days prior to treatment to prevent a urinary tract infection. On the day of the procedure, we will make sure that you do not have a urinary tract infection (UTI) and numb the bladder with a local anesthetic. The doctor will use a cystoscope to place small injections of botox into the bladder wall. After the procedure, you will be scheduled for a follow-up visit to evaluate your progress and determine when the next treatment is needed. If you would like to learn more about Bladder BOTOX ® and how it can help improve the quality of your life, call Blue Ridge Urological today at (540) 932-5926.