Researchers have concluded that Botox works as well as surgically implanted devices for severe incontinence in women. 

Researchers at Duke University have found that women who suffer from severe urge incontinence are now able to choose between Botox treatments and a surgically implanted device to help stop their symptoms as both are equally effective, according to new evidence.

Botox injections have the advantage of being less invasive and cheaper than a surgical implant, however the cost of these injections can end up adding up over time.

Between 25% and 45% of women in the United States experience urinary incontinence, and twice as often as men experience it. This is due to a wide range of factors including pregnancy, menopause and giving birth.

The condition also worsens with age.

The women involved in this study had to have suffered from at least six episodes of urinary incontinence in three days in order to participate. At least 20% of those in the study were cured through the use of Botox.

Researchers also stated:

“Forty-six percent in the onabotulinumtoxinA (Botox) group and 26 percent in the sacral neuromodulation group had at least a 75 percent reduction in the number of episodes of urgency incontinence.”

The Botox works by stopping the nerve stimulators from signalling to the brain to empty the bladder, much the same way the internal surgical implant works.

Botox was deemed to be slightly more effective, helping stop the risk of episodes of incontinence by one more episode a day than the the surgical implant. However, it was found that more women who had the Botox developed a urinary tract infection as opposed to women who had the surgical implant.

It should be noted that many of these procedures are last ditch efforts to help fix incontinence issues. Women with these issues are often first asked to make lifestyle changes, such as avoiding caffeine and alcohol, not lifting heavy objects and even doing “bladder training” with exercises to keep the bladder from leaking unintentionally.

Despite the effectiveness of Botox, the women who participated in the study both equally stated that they were satisfied with the outcome, meaning it is up to the patient to decide her own course of treatment.


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