does the surgeon go through the vagina or stomach to inject botox into the bladder

Hello Anonymous,

On January 18, 2013, the FDA approved the use of Botox to treat adults with overactive bladder who cannot use or do not adequately respond to a class of medication known as anticholinergics.

Botox is injected into the bladder using cystoscopy. Cystoscopy is a procedure that allows the physician to visualize the interior of the bladder while Botox is being injected.

During cystoscopy, a cystoscope, which is hollow tube equipped with lenses, is inserted into the urethra, which is a tube that carries urine from your bladder to the outside of the body, and slowly advanced into the bladder. The opening to the urethra is above the opening to the vagina.

Regards,
Maryann