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Thread: botox question

  1. #1
    Senior Member
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    Indpls, IN USA
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    botox question

    Can Botox injections stretch out the urethra (from the size of the needle), therefore increasing leakage even more after injections wear off?
    Or is bladder leakage caused only by spasms, regardless of urethra size?
    "courage is fear that has said its prayers"

  2. #2
    It would be most unusual for the cystoscope used for Botox bladder injections to stretch out the urethra, or to do anything to the external urinary sphincter.

    We you using a indwelling urethral catheter for a long time prior to having the Botox injections?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  3. #3
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    Quote Originally Posted by SCI-Nurse View Post
    It would be most unusual for the cystoscope used for Botox bladder injections to stretch out the urethra, or to do anything to the external urinary sphincter.

    We you using a indwelling urethral catheter for a long time prior to having the Botox injections?

    (KLD)
    that's reassuring-I was a little freaked out by funklab's description of the procedure.

    I'm actually just considering having botox done, and I have a SP tube but leak a lot thru my urethra.
    "courage is fear that has said its prayers"

  4. #4
    Two things to discuss with your urologist:

    Leakage through the urethra can be more common in woman after menopause, as the thinning of the mucosal lining of the vagina that occurs then can also occur in the urethra.

    Would you benefit from a urethral sling procedure? In some woman, the angle between the bladder and the urethra is too large, and this can lead to stress urinary incontinence. A sling procedure (ideally done with your own tissue, not Dacron mesh) can resolve this problem.

    https://medlineplus.gov/ency/article/007376.htm

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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