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A MyMSTeam Member asked a question 💭
Worthington, MN

I had my SPC placed at the end of August. When my bladder spasms, muscle relaxers (which work great for MS spasms!) don’t work. Yesterday, I asked my doc about bladder Botox. It sounds great! But she refused because it can cause UTI’s. That’s why I got the SPC in the first place!

Anybody have experience with this? Any of it?

May 3, 2025
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MyMSTeam

Many people with MS have found success with bladder Botox injections. The procedure involves injecting botulinum toxin into the bladder wall through a small camera, usually under local anesthesia. Studies have shown significant improvements, with over half of participants experiencing complete resolution of urinary Show Full Answer

Many people with MS have found success with bladder Botox injections. The procedure involves injecting botulinum toxin into the bladder wall through a small camera, usually under local anesthesia. Studies have shown significant improvements, with over half of participants experiencing complete resolution of urinary incontinence after six weeks.

While UTIs are a valid concern, one MyMSTeam member who had a suprapubic catheter reported positive results, noting they no longer needed bladder medications or supplements. The benefits of Botox typically last 3-12 months before requiring another treatment. It might be worth getting a second opinion from a urologist who specializes in MS bladder issues. While Botox does carry some risks like pain, bloody urine, and infection, many members report it being "life-changing" for their bladder control. The treatment can't be repeated more frequently than every three months, and cost can be a consideration as each vial runs about $400.

May 3, 2025

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