Botox Injection for Overactive Bladder by dr. Andika at Mandaya Royal Hospital Puri

Overactive bladder (OAB) is a condition that can cause a person to urinate more frequently and experience a sudden, strong urge to urinate that is difficult to control. Symptoms may also occur at night, and some people may experience urine leakage (urinary incontinence). The condition can be associated with various factors, including infections, nerve disorders, injuries to the abdominal area, certain medications, and consumption of certain types of beverages. Treatment can be tailored to the underlying cause and the patient’s condition, ranging from lifestyle changes and medications to nerve stimulation therapy.

To help manage this condition, dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS, a urologist and consultant in functional, female, and neuro-urology at Mandaya Royal Hospital Puri, recently performed a Botox injection procedure on the bladder. This therapy is one of the treatment options for overactive bladder, particularly in certain cases where other treatments have not provided optimal results.

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Explanation of the Botox injection procedure for overactive bladder by dr. Andika

According to dr. Andika, Botox or botulinum toxin is commonly known in the field of aesthetics for helping reduce wrinkles and relax facial muscles. However, medically, Botox can also be used to reduce excessive nerve and muscle activity. This mechanism is utilized in the treatment of overactive bladder or a hypersensitive bladder.

In patients with this condition, the bladder may contract excessively, causing symptoms such as frequent urination and a sudden urge to urinate that is difficult to control. Injecting Botox into the bladder muscle can help reduce this excessive activity, thereby decreasing bladder sensitivity and helping patients gain better control over urination.

The Botox injection procedure performed by dr. Andika used 200 units of Botox, which were injected into the patient’s bladder. After the procedure, the patient was observed for approximately 1–2 hours to ensure that their condition remained stable, including confirming that they could urinate normally. If no problems were found, the patient could return home on the same day, allowing the procedure to be performed under a one-day care concept.

The effects of Botox are not immediate and do not reach their maximum effect right after the procedure. The therapeutic effects generally begin to appear and develop over several days to weeks, with the maximum expected effect occurring around 2–3 weeks after the procedure. During this period, the frequency of urination is expected to decrease, while the patient’s ability to control the urge to urinate may improve.

However, the effects of Botox are temporary, so the procedure may need to be repeated if symptoms return. The interval between procedures can vary from one patient to another. In some cases, the procedure may be repeated approximately every 6–8 months, depending on the patient’s response to treatment and whether overactive bladder symptoms recur.

Benefits of Botox injections for overactive bladder

When Botox therapy for the bladder is successful, patients may experience several benefits, including:

Reducing or eliminating episodes of urine leakage or urinary incontinence.
Reducing or eliminating a sudden, strong urge to urinate that is difficult to control.
Reducing the frequency of urination during both the day and night.
Reducing or eliminating the need to use special pads to manage urine leakage.
Improving the patient’s quality of life.

Approximately 70–75% of patients experience a significant reduction in symptoms and an improvement in quality of life after undergoing Botox therapy for the bladder.

How is Botox injection for overactive bladder performed?

Botox injections into the bladder are generally performed as an outpatient procedure, with the following steps:

The patient is given local anesthesia to help reduce discomfort during the procedure.
Local anesthetic gel is applied or inserted into the urethra, the tube through which urine leaves the body.
The doctor then inserts a small, camera-equipped tube to examine the inside of the bladder. This procedure is called cystoscopy.
After examining the bladder, Botox is injected using a special needle into several areas of the bladder wall.

After the procedure, the patient is monitored for a period of time before being allowed to go home.

Meet dr. Andika, a urologist and consultant in functional, female, and neuro-urology at Mandaya Royal Hospital Puri

dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS is a urologist and consultant in functional, female, and neuro-urology. He focuses on the diagnosis and management of various urinary tract disorders, urological conditions in women, and urinary problems associated with disorders of the nervous system (neuro-urology).

He completed his medical education at the University of Indonesia, graduating in 2008. dr. Andika then pursued his specialist training in Urology at the University of Indonesia, which he completed in 2020.

To further develop his expertise, dr. Andika completed his Consultant in Functional, Female, and Neuro-Urology training at the Indonesian Urology Collegium in 2022. With this expertise, he manages various urinary tract disorders, female urological conditions, and urinary problems caused by neurological disorders.

What are dr. Andika’s areas of expertise?

dr. Andika has expertise in managing various urological conditions, particularly those related to urinary tract function, women’s urological health, and neuro-urology, including:

Urinary tract disorders in women, including recurrent urinary tract infections (UTIs).
Urination problems, such as difficulty urinating, weak urine flow, or incomplete bladder emptying.
Urinary incontinence, or the inability to control urination (urinary leakage), in adults and older adults.
Bladder dysfunction caused by neurological disorders (neuro-urology), such as in patients who have had a stroke or have diabetes.
Various urinary tract functional disorders that require evaluation and treatment by a urologist specializing in functional, female, and neuro-urology.

dr. Andika’s schedule at Mandaya Royal Hospital Puri

dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS is available for consultation at Mandaya Royal Hospital Puri on:

Tuesday: 4:00 PM–8:00 PM
Thursday: 4:00 PM–8:00 PM
Saturday: 9:00 AM–4:00 PM

To make your visit to Mandaya Royal Hospital Puri more convenient, you can use the WhatsApp Chat, Book Appointment, or the Care Dokter app, which can be downloaded from Google Play and the App Store. The app makes it easier to arrange appointments, check your queue number, and access other useful information.

*The information provided on this page is intended for educational purposes and as general guidance. It does not represent the full range of medical services that may be provided by each doctor. To ensure appropriate treatment based on your health condition, consultation with the relevant doctor is recommended.

If you have any questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.

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