BOTULINUM TOXIN (Botox) FOR OVERACTIVE BLADDER
Recent resurgence of bladder injections with Botulinum Toxin (Botox) seems to provide a viable therapy option to patients with OAB who either did not benefit from medical treatment or who could not tolerate their side effects. The Botox is injected into the wall of the bladder during cystoscopy. This 10- 15 minutes office procedure (see picture) requires only local anesthesia and it is proven to be safe with rare and minimal side effects. The American experience is beginning to evolve and from the European reports it seems that the injections will need to be repeated twice a year.
Dr. Berger is a principal Investigator in 2 phase II clinical trials to evaluate the efficacy and safety of the Botox in the treatment of OAB in patients with and without neurological conditions. Our Botox experience with the non neurogenic patients has been favorable, while are just beginning to enroll OAB patients with neurological conditions. 
Click below to read about Dr. Berger's botox study
Updated November 11th, 2007