What is a bladder Botox operation?


A small telescope is inserted into your bladder.  The telescope allows a clear view of the inside of the bladder.  Through this telescope thirty small injections of Botox are inserted into the bladder muscle.  This aims to relax the bladder, helping the symptoms of an overactive bladder, for example urinary urgency and leakage with a strong desire.  If effective the procedure may work for approximately one year.


What will happen during your admission?


This procedure is carried out as a "day case", meaning that you will be admitted to Hospital in the early morning, but would expect to go home at lunchtime.  Soon after you are admitted Mr Cooper or a member of his team will visit you and explain the procedure to you and ask you to sign a consent form if you have not already signed one.  The Anaesthetist will also visit you to ask particularly if you have any allergies or previous reactions to drugs, or have any past or current history of illness which could affect the safety of the anaesthetic.  If you have any questions for Mr Cooper, his team, or the Anaesthetist please do not hesitate to ask.  It is often helpful if you have thought of questions beforehand, to write them down so that you do not forget to ask them in the understandable anxiety of being admitted to Hospital.


The nurse from the ward will then accompany you to the operating theatre, and later return with you to the ward.


Going home:


When both yourself and the nursing staff are happy that you have fully recovered from the anaesthetic you will be able to go home.  It is important that a relative or friend is available to take you home as you will not be able to drive for 24 hours after an anaesthetic.  Likewise you should not operate any machinery (and that includes a cooker!) or drink alcohol for the 24 hours following an anaesthetic.


After the procedure you may notice a slight cramping, period-like pain in the abdomen and blood-stained urine when you pass water.


The risks of the procedure are:-


               Perforation of the bladder (a hole in the bladder).

               Infection of the bladder.

               Failing to visualize the bladder clearly.

               Inability to empty the bladder requiring self-catheterisation.

               Pain immediately associated with the procedure.

Any extra procedures which may become necessary.

Failure of the procedure.

Occasional worsening of your symptoms.


If you have any concerns at all before your operation please contact Mr Cooper’s Secretary on 01782 552738.  Please be aware that it is possible your operation may be cancelled on the day of surgery.  This may be for various reasons, for example patients requiring longer operations, emergency patients, or lack of beds.  Please also remember you will be entering a hospital and not a hotel.


Alternatives to the procedure:


These include drugs to relax the bladder, and also re-education of the bladder.  It is likely you may have already tried these.




Mr Cooper 2.10.06