Bladder Botox Injections Bladder Botox Injections

Bladder Botox Injections

Botox injections in the bladder can reduce the urge and frequency of urination, as well as urine leaks and accidents.

  • Duration:
    10-30 min
  • Sessions:
    1 session


Botox injections in the bladder can reduce the urge and frequency of urination, as well as urine leaks and accidents. Botox can be helpful for people who have tried other medications or techniques to manage symptoms without success.

Botox is best known for it’s cosmetic applications – freezing muscles to smooth out wrinkles. Millions of people have received Botox injections without serious adverse effects. Botox is a neurotoxin that is successful and valuable therapeutic protein when properly applied.

Botox is commonly used for diverse conditions like muscle spasticity, migraines and excessive sweating, as well as urinary incontinence. Botox can be a successful second-line treatment for patients with overactive bladder who have been unable to find relief from other therapies.

Small concentrations of Botox can be safely injected to prevent signals from the nerve cells reaching muscles. Bladder Botox injections effectively remove the trigger for involuntary contractions of an overactive bladder. Botox injections are typically well-tolerated, with most patients experiencing few if any minor side effects. But not everyone is a suitable candidate for the treatment, including pregnant women or women with chronic urinary tract infections. Our doctors at Steinberg Urology will discuss the treatment options available to you based on your specific health history and symptoms.

Consultation Request

01 Normal bladder half full and relaxed 02 Overactive bladder half full and contracting and leaking 03 Bladder Botox injections


Botox injections are done with a special device called cystoscope, which allows the doctor to view the bladder and complete the procedure safely.

Botox blocks the chemical that triggers spasms in the bladder creating the urge to urinate, and paralyzes the bladder muscle. The combined intervention means less trips to the bathroom and fewer embarrassing accidents.

Benefits from Botox injections can last several months. Many patients see a significant drop in urinary frequency after just three treatments.

Botox relaxes the bladder by preventing the release of neurotransmitters that signal the bladder muscle to contract. For patients with overactive bladder, these signals are released far more frequently than normal, sometimes when there is little or no urine in the bladder.


The application of these injections can bring welcome relief for people who have tried other therapies with little or no success. From overactive bladder to severely spastic bladders resulting from neurological disorder, Botox injections can help restore a patient’s quality of life.

One of the biggest benefits is how quickly symptoms are relieved, results can begin in just 3 days for some. Within two weeks, most if not all patients are experiencing a change in urinary urges and frequency. For patients who leak urine because of the muscle spasm – the incontinence is typically gone.

The benefits from Botox injections in the bladder include:

  • Urge to urinate and frequency of urination reduced
  • Incontinence eliminated
  • Treatment takes about an hour.
  • Sleep disruptions for urination reduced or ended
  • Results seen just 3 days after injection
  • Result last from 6 to 8 months


Botox is taken by millions of people and is considered a well-tolerated treatment. But some people are not good candidates for the procedure. Pregnant women should not be treated with Botox under any circumstance.

Botox injections in the bladder can increase the incidence of urinary tract infection (UTI). It’s not recommended that people with chronic UTIs get Botox injections. Your doctor may provide antibiotics after the procedure to avoid infection.

A small percentage of people can experience urine retention. Because Botox relaxes the bladder muscle, some patients have not been able to fully empty their bladder. This is resolved using a self-catheter to drain urine held in the bladder, but is typically temporary for most people.

Some people will see a little blood in their urine but this should go away within a day or two. Adverse events from the medication are relatively rare. Expect to discuss risks and benefits with the doctor before beginning treatments.


We pride ourselves on our compassionate and approachable nature. We understand the need to take the time to explain complex medical conditions in simple terms to ensure that you and your family are properly informed throughout your patient journey.

Book a consultation with Dr. Steinberg online or call us at 514-312-2821.



Female Incontinence


Interstitial Cystitis


Overactive bladder


As trusted professionals and experienced physicians, we deliver great results for all of our clients. Our Bladder Injections patients report feeling invigorated, confident and more sexually responsive after treatment. Visit us for a consultation to learn more.


Your doctor will provide you with information on the treatment and expected results as based on your condition. Patients may: 

  • Temporarily stop taking antiplatelet medications
  • Begin a course of antibiotics to help prevent urinary tract infection (UTI)
  • Learn how to use a catheter in case it becomes necessary to use one

Before the injections begin, the bladder is treated with a local anaesthesic to thoroughly numb the area. Typically, the anaethestic will take hold within 20 minutes.

The doctor will insert the scope and move it through urethra to the bladder. Once it’s in position, a small needle carrying the Botox is passed through the scope and several injections are made throughout the muscle tissues.

The procedure is virtually painless. Some patients may feel slight pressure but most tolerate the procedure quite well. People typically drive themselves home and can resume normal activities immediately.

Once your injections are completed, there is no recovery period or downtime. But the doctor may need to check your response and provide any needed prescriptions.

  • Prescribe a short regimen of antibiotics
  • Discuss the use of self-catheter if necessary
  • Schedule a follow up to check urine retention

The procedure takes 30 minutes.

There is no recovery period or downtime. But the doctor may need to check your response and provide any needed prescriptions.

It’s always important to consider the potential side effects of any medication and equally weigh the benefits and risks with your doctor before making a decision.

The most common side effects after a Botox treatment were:

  • Urinary tract infection (18% vs 6% with placebo)
  • Painful or difficult urination (9% vs 7% placebo)
  • Temporary inability to empty your bladder, which may require the use of a self-catheter (6% vs 0% placebo)

Patients begin to experience results within three days to a week. In some cases, the full effect may take up to two weeks. The treatment normally relieves symptoms from six to eight months, but individual results can vary.

Botox injections are not permanent. The doctor will discuss a treatment protocol and schedule for additional treatments. It is safe to assume two per year.


Do the injections hurt?

No. The bladder is flushed with a local anaesthesia to numb the muscle. You might experience some pressure while the procedure is conducted, but most patients feel nothing at all.

How often do I need to get the injections?

You can expect to the injections to last for six to eight months, though Individual results can vary. It’s reasonable to assume that you will need re-treatment within a year. Botox injections are safe – you can have the treatment as you need it.

Is Botox dangerous?

No. Botox is currently used by millions of people in different medical and cosmetic procedures. As with any medication there can be side effects that occur. Not everyone is recommended for the treatment. The doctor will answer any questions you have, but the decision for the treatment is yours to make.

How does bladder Botox work?

When Botox is injected directly into the bladder muscle, it keeps nerve cells from trigger the spasms that cause urge frequency and incontinence in people with overactive bladder. Without the contractions, people regain control over urinary functions.

Will I still need to buy pads or diapers?

Ideally, no. For most overactive bladder patients with incontinence, those embarrassing accidents are over.

The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.


At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.


Call Now Button schedule an appointment ?Ask a question TRTTRT PROGRAM ELIGIBILITY