Botox for an Overactive Bladder

Anna Kremerov
Checked By Anna Kremerov

An overactive bladder is a frustrating medical condition that can hinder your life.

While lifestyle changes and pelvic floor muscle training can make a difference, results may take a while to kick in or you may see no change at all. Treatment with Botox injections, however, has been proven to be highly effective in controlling urinary incontinence.

What Is an Overactive Bladder and Why Does It Occur?

An overactive bladder is when the muscles of the bladder start to contract on their own, even when the volume of urine in your bladder is low. These are called involuntary contractions, and they create an urgent need to urinate.

An overactive bladder can affect people of all ages and is often associated with urge incontinence, which happens when someone feels an overwhelming need to urinate immediately.

Bladder overactivity can also cause other issues such as frequent urination, painful urination, urinary tract infections, urinary incontinence and urinary leakage.

In some cases, people with an overactive bladder may also have trouble emptying their bladders completely because they tend to experience urgent urinary incontinence. This means that they may not be able to get rid of all the urine in their bladder before they feel a strong urge to go again.

An overactive bladder can be caused by a number of factors, including neurological disorders, diabetes and hormonal changes.

How Can Botox Help Overactive Bladders?

How Can Botox Help Overactive Bladders?

Botox is a brand name for botulinum toxin – a neurotoxin which blocks the messages sent by nerves to the bladder muscles.

When botulinum toxin is used to treat an overactive bladder these signals are blocked and the muscles relax, which reduces the frequency of the muscles contracting which causes an overactive bladder.

Botulinum toxin also relieves symptoms such as an urgent need to urinate and leaking urine.

How Does Using Botox for an Overactive Bladder Work?

An anaesthetic gel will be placed into the urethra to numb the area of the Botox injections. A thin tube called a cystoscope is then inserted into the bladder, before your practitioner injections the botulinum toxin through this tube into specific areas of the wall of the bladder muscle.

Botox injections take approximately five minutes and you may feel a pricking sensation or slight discomfort.

Before you go home, your practitioner may ask you to pass urine and want to scan your bladder to ensure it is emptying appropriately.

You may also be prescribed antibiotics to go home with. Normal activities can usually resume the day after Botox injections.

You should start noticing a difference in your bladder activity after two weeks. Botox injection results to treat an overactive bladder treatment generally last three to six months.

How Much Does It Cost to Treat an Overactive Bladder With Botox?

Botox for overactive bladder treatment is sometimes available for free on the NHS.

Speak to your GP to see if you qualify.

Private botulinum toxin treatment is generally around £500 but will depend on the location and experience of the practitioner.

How Much Does It Cost to Treat an Overactive Bladder With Botox?

Are There Side Effects to Treating Overactive Bladders With Botox?

Botox side effects are rare, but can include:

  • Urinary retention: difficulty or inability to empty your bladder – can be treated with a catheter

  • Blood in urine: usually minor and settles down

  • Urinary tract infection: treatable with antibiotics

In extreme circumstances, you may experience difficulty breathing, swallowing or speaking.

If you experience any Botox side effects or complications, contact your practitioner immediately.

Who Should You Trust to Treat Your Overactive Bladder With Botox?

As using botulinum toxin to treat an overactive bladder is a medical treatment, it's really important you see a medically-qualified practitioner with specific training in this area.

They should have undergone training in anatomy and physiology, as well as being accountable to a regulatory body such as the General Medical Council (GMC), Nursing and Midwifery Council (NMC), or General Dental Council (GDC).

They should also be able to advise you of the risks of injectable botulinum toxin treatment and be confident in handling complications if they arise.

Check out our handy guide for finding a trusted Botox for an overactive bladder practitioner.

Book a Botox Consultation Today!

Botox for an overactive bladder is available on the NHS, but only in specific circumstances. See your GP to find out if you're eligible, or if you want to look for your nearest accredited and verified Botox clinic, you can search your local clinics below. 

As always, if you have any questions you can use our Botox Q&A where you can ask for more advice direct from a trusted, experienced medical practitioner.

Not sure Botox treatment is right for you? We have lots of Botox FAQs, Botox videos, Botox reviews, and Botox before and after images for you to do more research if you are not ready to speak to a medically trained Botox injector yet.
If you want to look for your nearest accredited and verified Botox clinic, your local Botox clinics are listed below. 

Outline Skincare Clinic

5 out of 5

From 5 Review(s)

Our aesthetic and laser clinic in Droitwich is set in a convenient town location, with ample free parking and beautiful views over the local countryside. Our specialist, medical led clinic boasts a fu...[READ MORE]

Map Icon

St Peters Manor, St Peters Church Lane, Droitwich, WR9 7AN

Doll Aesthetics Wolverhampton

Doll Aesthetics is a nurse-led company offering anti-wrinkle injections and dermal fillers in Wolverhampton, Birmingham & London. SAFETY FIRST – We are fully insured and have undergone medical a...[READ MORE]

Map Icon

Bredon House, 321 Tettenhall Road, Wolverhampton, WV6 0JZ

Dr Gabriela Aguilar Medical Aesthetic Practice

Dr Gabriela Aguilar is a fully qualified aesthetic doctor with over 7 years of experience providing a wide range of aesthetic treatments. She is a fully licensed member of the GMC with a Masters D...[READ MORE]

Map Icon

17 Hurts Yard, Nottingham, NG1 6JD

AM Skin Clinic

5 out of 5

From 5 Review(s)

AM Skin Clinic is an established Non-surgical medical aesthetic clinic that has built a very strong reputation as a leading Surrey clinic.[READ MORE]

Map Icon

5a Church Street, Reigate, RH2 0AA

Define Clinic

In the stunning spa-like ambience of Define Clinic, world-leading Dr Benji Dhillon uses non-invasive procedures to lift, define and enhance. As well as Dr Dhillon’s signature non-surgical lift, D...[READ MORE]

Map Icon

24 London End, Beaconsfield, HP9 2JH

Reverse Time Aesthetic Treatments

5 out of 5

From 11 Review(s)

Dr Aarti Narayan-Denning is an Aesthetic Specialist doctor and GP providing consultation, wrinkle reduction, non-surgical facelifts, prescription skincare (Obagi), PRP, Silhouette Soft, Aqualyx, ...[READ MORE]

Map Icon

31 Junction Road, Andover, SP10 3QU

Aesthetics By Megan

5 out of 5

From 6 Review(s)

Megan is an experienced registered nurse who has worked in aesthetics since November 2017. She has undergone extensive aesthetic training to ensure she is able to bring the latest and safest practic...[READ MORE]

Map Icon

The Terrace, Grantham Street, Lincoln, LN2 1BD


Dr Dhesi is a GP with a specialist interest in Aesthetics, cosmetic skin conditions and wellness. The aim of our clinic is to Restore, Renew, and Rejuvenate your skin. Serving Rutland, Oakha...[READ MORE]

Map Icon

The King Centre, Main Road, Barleythorpe, Oakham, LE15 7WD

Cavendish Clinic - Parsons Green

5 out of 5

From 5 Review(s)

London’s premier face and body rejuvenation clinic. Designed with rejuvenation and relaxation in mind, here at Cavendish Clinic and Medispa, we want to make you feel special. [READ MORE]

Map Icon

185 New Kings Road, Parsons Green, London, SW6 4SW