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First Botox Outpatient Surgery

First Botox Outpatient Surgery


On Wednesday 11th January 2017 Consultant Urologist Mr Joseph Nariculam successfully performed botox surgery under local anaesthetic on 2 urology patients who had been suffering from an overactive bladder. This was a first for the Trust’s Urology Department, as the procedures were carried out in an outpatient setting whilst the patients were awake. Both patients received this surgery after conventional treatment with medication failed.


An overactive bladder is when you have a combination of urgency of urine, meaning you cannot defer a void (need to rush to the toilet), urgency incontinence (leaking of urine before one has the time to get to the toilet) and urine frequency (the need to urinate more often than usual).

The aim of the injections is to reduce urgency, urge incontinence and frequency by injecting botox directly into the bladder wall. The procedure takes about 10 minutes, involves passing a small telescope into the bladder through the urethra (the tube that carries urine from the bladder to outside the body) and performing between 10 and 20 injections of Botox into the bladder wall from the inside.  

Botox is a muscle relaxant, which works by reducing uncontrolled contractions of the bladder muscle and increasing bladder capacity. This helps to improve the symptoms of overactive bladder.


Previously this treatment would have had been carried out under general anaesthetic which meant patients had to be put to sleep and involved a longer recovery time from the anaesthetic. Now patients can come in for this outpatient procedure, and are well enough to go home after 2 - 3 hours.


Botox surgery has also been carried out in the Gynaecology Department  at Darent Valley Hospital and both departments have collaborated to facilitate this service. The Urology Department would like to thank Mr Abhishek Gupta and Mr Rob McDermott for starting this new procedure alongside their department. The urology department now aim to see about 50 patients a year using this less invasive procedure.


Professor Sri Prasad, Clinical Director said "this new science greatly helps patients with overactive bladders and many congratulations to the team for introducing it".