Dr. Praveen Pushkar
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have been told that I have a weak detrusor muscle and an overactive bladder. I feel constant irritation in the bladder and sometimes, my lower abdomen area swells up. I had negative urine cultures, and I have been told Botox may help me, but I can only have 50 percent or so strength due to the weak detrusor. Can you confirm that Botox and bladder hydrodistention will eliminate constant irritation feeling? Also, can the detrusor ever recover?
Hello,
Welcome to icliniq.com.
Botox is used for overactive bladder, once oral anticholinergic medication fails to give benefit. Botox gives benefit for 6 to 9 months, so it has to be repeated after a year. There is a risk of detrusor acontractility after injection, for which you might have to use CIC (clean intermittent catheterization). Detrusor gets recovered with time. Hydrodistension may be beneficial for the constant irritation feeling which you used to have. This is mainly used for interstitial cystitis (IC).
Patient's Query
Hello doctor,
Thanks for replying. Is it possible that detrusor can recover in time but not 100 percent? And the Botox will not help with constant irritation, right? My doctor does not think I have IC. Also sometimes, I get urethral twitching.
Hello,
Welcome back to icliniq.com.
Theoretically, it is possible but practically, I have never seen detrusor strength recovering 100 percent. In fact, overactivity starts after six months and by nine months to a year, same baseline activity is seen. But initially after injection, it is possible that you might have to use CIC but strength will return. Do not go for hydrodistension in the same sitting. First just get Botox injection then evaluate the results.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Urology
Related Questions
Will Botox injection 200 permanently cure urinary external sphincter void dysfunction?
Is injectable Botox safe for a patient with Sjogren's syndrome?
My daughter has a bald patch on her head. What condition is this?
Will Botox treat a weak detrusor muscle and an overactive bladder?
Is surgery advisable for abductor spasmodic dysphonia?
Anal Fissure: Causes, Prevention, and Treatments.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
