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Can Neurogenic Bladder Be Cured

Botox for the Bladder Patient Story with Dr Timothy Hlavinka, Urology San Antonio

BRENDA The symptoms I was feeling were pressure in my upper right abdomen and also the feeling of urgency and needing to go all the time, and if I waited too long, I would leak. And so I was emptying my bladder about every hour to hourandahalf so it became pretty bothersome in my daytoday life. DR HLAVINKA Brenda is probably one of the most difficult of my patients in my career to treat. We have gone to extraordinary lengths to make her better. She has gone to extraordinary lengths to get herself better.

And has been willing to do even the very stateoftheart treatment of Botox. She developed leakage in pain due to increased bladder pressures for which there are no treatments, and Brenda came to me at the end of her rope. We discuss the options and nothing was working, and we decided to use Botox for her bladder because we knew that that had an excellent chance of results. Urinary leakage is the product is either a week control muscle or an overactive bladder. So a patient can have any imbalance of those two structures in the body and develop leakage.

When the leakage is due to an overactive bladder, Botox is used when other treatments have failed traditional medications Kegal exercises, pelvic floor therapy, diet and lifestyle alterations. When all of those fail, then a patient is a candidate for Botox injection. A small flexible scope, about 5 millimeters 25thsofaninch in diameter is inserted in your urethra, your urine channel, using a very very tiny, tiny needle inject approximately 10 to 20 sites in the bladder wall. The procedure itself, where your on the table getting an injection, lasts about five minutes. Botox will wear off.

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