Continence and bladder function
Bladder botulinum toxin injections
Updated: 3 October 2026
My pathway: before, during, after
01Indications
Treat selected resistant overactive bladder, with or without neurological disease.
02Preparation
Exclude infection and discuss possible self-catheterisation if emptying becomes difficult.
03What happens
Injections are given into the bladder wall during cystoscopy with suitable anaesthesia.
04Follow-up
Check residual urine and response. Repeat treatment may be needed.
05Expected results
May reduce urgency and leakage; the effect is temporary.
06Risks and limitations
Urinary infection, blood in urine and retention sometimes requiring catheterisation.
Questions for your consultation
- Why this procedure rather than another option?
- What benefit should I expect in my case?
- When can I resume activities and whom should I contact if problems occur?
Medical references
These guides describe treatment options without implying that every technique is offered at the practice. Indications, anaesthesia and recovery are individualised.
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