Injection of medication into the bladder muscle
Injection of medication into the bladder muscle at a glance
| Indication | Urge incontinence |
| Principle | drug-induced paralysis of the bladder muscle |
| Operating time | approx. 15 minutes |
| Hospital stay | 1–2 days |
| Note | General anaesthesia or spinal anaesthesia |
During a cystoscopy, a drug that causes muscle weakness is injected into the bladder muscle. In this way, it can inhibit the involuntary contraction of the bladder that causes urge incontinence. It is used when sufficient success cannot otherwise be achieved with medication. The drug is approved for various forms of incontinence, e.g. also for overactive bladder or neurologically caused bladder overactivity.
During a cystoscopy, the drug is injected into various areas of the bladder muscle with a thin needle. The procedure only takes a short time.
In addition to the general risks of any operation, such as bleeding and inflammation, there are other special risks with this operation. For example, it is possible that the therapy does not achieve the desired effect. In rare cases, there may be an excessive effect leading to residual urine or even urinary retention. A catheter must then be inserted temporarily. All possible risks of the surgical procedure are discussed in a detailed consultation before the operation.
Patients are admitted on the day of the operation. After the operation, inpatient treatment for 1–2 nights is recommended, during which time the urine is drained via a bladder catheter. The full effect usually only develops after 1–2 weeks. A further ultrasound check is then necessary to determine the amount of residual urine.
Most patients are successfully helped by the procedure. The drug has a limited duration of action of a few months. This is why any side effects of the operation are never permanent. However, regular procedures are of course necessary to maintain continence. In view of the short procedure, which is rarely associated with complications, this is quite acceptable.
More information in the video:
VIDEO
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Inhalt dieses Videos:
Urge incontinence
Do you suffer from a constant urge to urinate or lose urine before you reach the toilet?
Then an overactive bladder – medically known as urge incontinence – could be the cause. In this case, the bladder muscle contracts too early and too strongly.
Contents of the video:
- The difference: urge vs. stress incontinence
- Anatomy & cause of urge incontinence
- Botox – mode of action and injection technique
- Duration of effect and possible risks
- Urodynamic examination as a basis
- Advantages over medication
- Summary
About this page:
Author
Medical director of the Goldstadt-Privatklinik.
Specialist for Urology, Mini-PCNL and robot-assisted da Vinci procedures.
Member in Scientific Societies and Reviewer of scientific journals.
