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The Forbury Clinic

Bladder Injection Therapy Newcastle

  • For overactive bladder

Botulinum toxin injected into the bladder wall to calm an overactive bladder can reduce urgency, frequency and urge leakage for people who have not had enough relief from other treatments.

    For overactive bladder
    When other treatments fall short
    Effect lasts several months
    Repeatable as needed

What is bladder injection therapy?

Bladder injection therapy, often referred to as bladder Botox, is a treatment for overactive bladder. Overactive bladder is a condition where the bladder muscle contracts too often or without warning. This can lead to:

  • A sudden strong urge to pass urine
  • Needing to pass urine frequently
  • Waking at night to urinate
  • Urge incontinence, which is leakage before reaching the toilet

The treatment involves injecting small amounts of botulinum toxin, a prescription-only medicine, into the bladder wall. The medicine relaxes the overactive bladder muscle, helping to reduce involuntary contractions.

Bladder injection therapy is usually considered when bladder retraining and medication have not provided enough relief. For suitable people, it can significantly improve symptoms and quality of life.

The procedure is carried out in clinic. A thin camera called a cystoscope is passed into the bladder, allowing the consultant to place a series of small injections into the bladder lining. The effect develops over the following days and typically lasts several months. Treatment can be repeated when symptoms return.

As with any procedure, there are potential risks. A small number of people may need to use a catheter temporarily if the bladder does not empty fully for a period of time. Your consultant will explain the benefits and risks clearly so you can make an informed decision.

How it works

What it involves

Bladder injection therapy works by calming the overactive bladder muscle that causes urgency and leakage.

Relaxes the bladder muscle

Botulinum toxin reduces involuntary contractions of the bladder muscle, helping to control sudden urges.

Reduces urgency and leakage

For suitable people, treatment can lessen urgency, daytime frequency, night-time waking and urge incontinence.

Repeatable treatment

The effect usually lasts several months. When symptoms gradually return, the treatment can be repeated following review.

Who bladder injection therapy may suit

This treatment may be considered for people who:

  • Have overactive bladder with urge incontinence
  • Have not had enough relief from bladder retraining and medication
  • Wish to consider an option short of surgery
  • Have been assessed as suitable by a urology specialist

A full assessment will confirm whether this is the right step for you.

 

What to expect

  1. Assessment
    Your consultant will confirm the diagnosis of overactive bladder and review previous treatments. Tests may include urine checks and bladder assessment to ensure this is the appropriate option.
  2. The treatment
    The procedure is performed in clinic using a cystoscope. Several small injections are placed into the bladder wall. The appointment is usually brief and you can normally go home the same day.
  3. Effect and follow-up
    The effect develops over several days. Most people notice improvement in urgency and leakage within one to two weeks. Your consultant will arrange follow-up and discuss repeat treatment if needed.

Why choose The Forbury Clinic for bladder injection therapy in Newcastle?

Why The Forbury Clinic
1

Consultant-led care

Assessment and treatment are delivered by an experienced urology consultant with expertise in managing overactive bladder.

2

Targeted approach

The treatment acts directly on the bladder muscle rather than affecting the whole body.

3

Meaningful symptom relief

For suitable people, it can reduce urgency, frequency and urge leakage when other treatments have not been enough.

4

Repeatable option

Treatment can be repeated when symptoms return, typically after several months.

Frequently asked questions

Is bladder injection therapy the same as cosmetic Botox?

It uses the same type of medicine, botulinum toxin, but it is used in a different way. In this setting it relaxes the bladder muscle rather than facial muscles. It is a recognised prescription-only treatment delivered by a specialist.

How long does bladder Botox last?

The effect usually develops over a few days and lasts several months. When symptoms return, the treatment can be repeated following review.

Are there any risks?

As with any procedure, there are risks. These include urinary tract infection, temporary difficulty emptying the bladder and a small chance of needing to use a catheter for a short period. Your consultant will explain these in detail before you decide.

When is it used?

It is generally considered when bladder retraining and medication have not provided enough symptom control.

Reviewed by Mr Matthew B.K. Shaw
Mr Shaw qualified from Oriel College, University of Oxford in 1997 before developing an internationally recognised Urology practice in the North East of England.
Last reviewed: 21 Jul 2026.

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Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.

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  • Reception
    01189207055
  • Location

    The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA

Treatment suitability is determined following consultation with a specialist. Individual results and recommendations vary.
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