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Thread: Botox shot in bladder without anesthesia?? Terrified about AD!!

  1. #11
    My first course of Botox was in August of 2006. Two hundred units were administered each time I had Botox treatments. Lately, I have read where doctors are administering 300 units per treatment. I took 2 days course of prophylactic Cipro. I have read about longer courses of Cipro being administered and it makes good sense to me to take a longer course.

    Six years is a long time ago in the learning curve of medicine, and it is not surprising to see different modalities of treatment evolving in the intervening years.

    That said, I did not experience the difficult autonomia without anesthesia that has been described here. As a c 6/7 complete, I am not a stranger to bouts of autonomia. Truth told, I had worse autonomia during urodynamics studies than I did with any of the Botox treatments.

    The original poster, C5C6 should voice his concerns and have a frank discussion with his urologist and ask him how many times he has administered Botox, and about his track record on dealing with severe autonomia brought on by the procedure.

    All the best,
    GJ

  2. #12
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    the urologist told me the procedure is done with a cardiologist present at all times and ready to administer the hypotensive medication.

    I think the question is as basic as: is it safe to treat AD only with hypotensive medication while not stopping what's causing the AD? what are nthe risks?

    Let me repeat this: I already had a botox shot with anesthesia, and still got AD. Without anesthesia, it is for sure that I WILL get AD again.

  3. #13
    Quote Originally Posted by C5C6 View Post
    the urologist told me the procedure is done with a cardiologist present at all times and ready to administer the hypotensive medication.

    I think the question is as basic as: is it safe to treat AD only with hypotensive medication while not stopping what's causing the AD? what are nthe risks?

    Let me repeat this: I already had a botox shot with anesthesia, and still got AD. Without anesthesia, it is for sure that I WILL get AD again.
    While the protocol for treatment should not necessarily vary by country, perhaps it does. It would be odd to find a cardiologist present to administer hypotensive meds during a urological procedure here in the US. My urologist is more than capable of doing this himself in an office setting. I also find it odd that the the anesthesiologist could not prevent an occurrence of AD during the procedure. Granted not every anesthesiologist has experience treating AD and may responsibly decline participating in a procedure for which they feel inadequately trained. But there are anesthesiologists who DO have this training. If possible, I would suggest searching for an anesthesiologist who's skilled with treating AD. This search may prove difficult, though, if your urologist only teams up with a limited group of specialists.

    My Botox procedures are done in the hospital because I require sedation and BP monitoring to prevent AD, which must be done by an anesthesiologist.
    Last edited by stephen212; 09-09-2012 at 10:37 PM.

  4. #14
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    Quote Originally Posted by SCI-Nurse View Post
    Will anesthesia be there or someone else monitoring and controlling your blood pressure or is going to try and do both?
    CWO
    There would be either an anesthesiologist or a cardiologist constantly monitoring my blood pressure and ready to apply a hypotensive medication

  5. #15
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    ok so bottomline, I should do anaesthesia... it would be too risky not to do it...

    does anyone have access to a paper regarding this?

  6. #16
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    Please! I need to get a Botox shot!

    Has anyone had the procedure done without anesthesia, got AD during the procedure, and was able to control it??

  7. #17
    Senior Member DaleB's Avatar
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    I'm a lower injury, but have done Botox in the bladder 3x. Outpatient procedure done in the Uro's office. Most recent time I had some local put in a few minutes before, on account of having felt several of few pricks of the injections the prior times. No problems, so far. Going in again in January.
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  8. #18
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    I found out something interesting: I asked some quad friends and those claiming to have got a botox shot without anesthesia, had never got AD before.

    I think it's pretty clear I should do anesthesia. I will do a meeting with the anesthesiologist and urologist at the same time and refuse by any means to get anesthesia without that anesthesiologist.

    Just as with AD, I'm afraid of getting anesthesia. How afraid should I be? Is it dangerous?

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