The treatment is called Botox (Botulinum Toxin). You may have heard of this drug under the brand name BOTOX. It is often used as a beauty treatment to get rid of wrinkles, but it can also be used medically to treat muscle disorders. Injections of this drug into the bladder wall have successfully treated patients with overactive bladders. 80% of patients see an improvement in bladder symptoms after this treatment.

Patients who have a condition called overactive bladder may be experiencing some or all of the following such as passing urine more frequently than normal, having a strong urge to pass urine that one can’t put off, Urinary leakage when one can’t get to the toilet quickly enough and getting up to pass urine more than once through the night. The common abnormalities of the nervous system that causes an overactive bladder are Parkinson's disease, Multiple Sclerosis, Stroke, Dementia, Diabetes, Spinal cord abnormalities, pelvic trauma and a drop in estrogen levels in female patients due to menopause.

If other forms of treatment, for example bladder retraining, diet and fluid advice, medication have not helped the bladder problem, the patient may be offered Botox, after they have had a urodynamic investigation.

The injection paralyses part of the bladder muscle, which means that the bladder becomes more relaxed and stretchy so that the patient should be able to hold on longer before feeling the need to empty their bladder. This should help to reduce episodes of the urge incontinence and frequency.

Dr. Enrico Dassen, Consultant Urologist at Medeor 24x7 International Hospital, Al Ain said, “Botox is highly effective in relieving the symptoms caused by an overactive bladder. In most cases, patients have had no effect or efficiency from the medications while they experience a direct effect from the BOTOX treatment which is often much stronger. Additionally, patients do not experience side effects from the medication like dry mouth, hypo tension, dry eyes or constipation and have almost no complaints for a longer period in time.”

A thin tube called a cystoscope is inserted into the bladder and a tiny camera is attached to the tube so the surgeon can look at the inside of the bladder. Through the tube, several injections of Botox are made into the specific sites of the bladder wall and the effect from BOTOX is immediately seen because the injections are given inside the bladder in the muscle. The surgery is usually performed under general anaesthetic.

After the surgery the patient will have passed urine without any problems and stay in the day care surgery unit for a couple of hours until they are well enough to go home.

The effects of the Botox usually start 1-7 days after the injection. The effect can last 6–12 months. This is a quick procedure with minimal discomfort. However, as with any procedure involving the insertion of equipment into a sterile area (the bladder) there are small associated risks, such as bladder infection which a patient can consult a urologist. One can return to work the day after the Botox injection and a follow up appointment will be required after 1 week.

“Medeor 24x7 Interntional Hospital, Al Ain is dedicated to offering specialized healthcare for the residents of the UAE and the Al Ain community,” said Dr. Arun Menon, Director of Operations, Medeor 24x7 International Hospital, Al Ain, “Our commitment extends to providing state-of-the-art technology and expert medical care in the treatment of various chronic and medical conditions.”

 

Source: Alisa PR

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