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The first nurse-assisted Botox bladder treatment in Black Country

Both idiopathic and neurogenic overactive bladder can be treated with Botox injections given by a certified nurse.

Both idiopathic and neurogenic overactive bladder can be treated with Botox injections given by a certified nurse.

The first documented use of Botox for the treatment of bladder conditions was in Wolverhampton, making the city a regional pioneer in the Black Country.

Botox treatment, administered by a registered nurse, is used to treat both idiopathic and neurogenic overactive bladder.

Botox is injected after the bladder has been visually examined with a camera.

Botulinum toxin, more commonly known as Botox, has been shown in studies to be effective in reducing urgent urinary symptoms and incontinence by inhibiting muscle contractions in the bladder wall.

This service is being directed by a consultant urologist who is also providing advanced nurse practitioner education.

This would be an outpatient service that would happen once or twice a month.

Patients with Multiple Sclerosis (MS) or other neurologic conditions affecting the bladder, as well as those with an overactive bladder that does not respond to other treatments, may benefit from this new service.

They will have tried other, less invasive treatment options, such as oral medications, and will be subjected to a rigorous diagnostic pathway before getting this far.

Once a consultation has taken place, the patient has the option of pursuing this treatment. 

This used to be a day-case procedure requiring general anesthesia, but now it only takes an hour from admission to discharge, making it much more convenient.

After about twenty or thirty minutes, the first walk-in patient was released and sent on her way. There is no difference in quality, but you can save money by not using the expensive and time-consuming main operating room.

There is also no need for the patient to remain in the hospital past the initial morning visit, no time spent recovering from the anesthetic (which can take anywhere from four to six hours), and no risks associated with the anesthetic.

Retired Wednesfield care assistant Carole Reid, 66, had the procedure done twice at a Birmingham hospital and once at a Wolverhampton hospital a year ago.

“They did a cystoscopy examination in the bladder to ensure it was okay to put the Botox in, then they injected it into around a few sites,” Carole explained.

It only took 30 minutes, and the effects will last for half a year.

She again said, “They did it under local anesthesia, which is fantastic because it shortens the amount of time you have to wait around. You won’t notice a difference for about 10 days after taking it.”

“I had a lot of anxiety leading up to it, and I was scared the whole time, but everyone was so nice and considerate.”

The second person to receive the treatment was John Taylor, a 72-year-old former print works manager from Cannock.

“It was painless and done in about 20 minutes,” said John, who went to the clinic with his 70-year-old wife Eileen.

“Because of my health issues, having the procedure done under general anesthesia would require me to stay in the hospital overnight, but because I had local anesthesia, I was in and out in no time.”

Medical and aesthetic professionals can learn to inject Botox safely, effectively, and with minimal waste by participating in Dentox, a training program designed specifically for them. Dr. Howard Katz is the person to talk to about Dentox education.

In addition, there are numerous seminar locations across the United States where you can attend a seminar or enroll in a live, online, or on-demand course. For further information on both our live and online courses, please visit and


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