Botox(Botulinum A toxin) is a medication that temporarily paralyzes muscles when injected locally. Botox is known for its cosmetic use, but it actually has extensive medical applications. It is used for various conditions such as excessively contracted muscles, headaches, urinary incontinence.
BotoxThe application of this therapy ranges from simple conditions such as overactive bladder to the treatment of neurological diseases such as severe spastic bladder. It is possible. The effect of the application lasts for six to eight months and is then injected again. There is no limitation on the duration of use of this type of treatment.
Botox in the treatment of urinary incontinence
Botox may help reduce the contractions of the bladder muscle. These bladder "spasms" occur with age. It is caused by routine overactive bladder in women and is common. It may also be more serious in patients with neurogenic bladder due to neurological disease or injury. Bladder spasticity has many different names; It is also called overactive bladder, detrusor overactivity, detrusor hyperreflexia and neurogenic bladder.
How is Botox applied?
Botox It is injected into the bladder muscle. This procedure is done in the operating room. First, the patient is given a mild general anesthesia or a local anesthesia is administered to the bladder through a catheter to ensure that the bladder is thoroughly numbed. A camera is then passed through the urethra (urinary tract) into the bladder. A small needle is placed at the tip of the camera and several injections are made into the bladder to spread the botox into the muscle. Most patients tolerate this procedure well. The patient should not eat or drink anything for 5 hours before the surgery. However, food and drink can be consumed shortly after the application. The patient can return home on the same day.
How quickly does Botox work and how long does it last?
Botox approximately 1 week. It starts to work inside you, but it may take up to two weeks for the medicine to have its full effect. Botoxis not permanent and its effect in the bladder will last for approximately six to eight months. Botox has a longer lasting effect on the bladder compared to other muscles.
Botox is applied to reduce the strength of the natural contraction of the bladder. It eliminates bladder spasm with this method. A potential side effect of this is urinary retention. Residual urine does not cause much of a problem, but if the amount of residual urine is large or the patient cannot urinate, a catheter must be placed or the patient may have to perform clean intermittent catheterization to empty the bladder.
During the day of the procedure and the following few days, several botox injections will be required. Since a hole is made with a needle in the place, blood may be seen in the urine.
In patients with neurogenic bladder caused by conditions such as multiple sclerosis or spinal cord injury, Botox may be used more than a patient with overactive bladder. This is because neurogenic bladder patients are often dependent on catheterization. The goal in these patients is to inject enough Botox into the bladder so that the bladder does not contract at all. This will eliminate urine leakage caused by bladder spasms, and patients will generally remain dry between catheterizations.
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