Search results for "botox"

Hi All, been a while. Sorry to be back but not sure where to turn. It's been a year since the above post and I am still suffering with the Tenesmus. A few months back I was sent for a flexible sigmoidoscopy and all came back clear but the symptoms continued and all that was suggested to me was that I try a FODMAP diet and come off colofac one of my IBS medications as the pills contain lactose, and also mirabegron one of my bladder meds, no reason was given for that one. Unfortunately none of that worked. I've tried all sorts of prebiotics, probiotics and nothing helps. I still suffer with my overactive bladder but as I've now retired I cope with that better as there isn't so much pressure finding a loo! Still take solifecanin for the increased visits and at one point thought it may be those meds casuing the Tenesmus but that was a false flag. The Tenesmus is now pretty much 7 days a week. All good until a morning BM then Tenesmus all day with either no or very little stool to pass. Then it strangely clears up in the evening for no rhyme or reason although thankfully gives a period of respite. Seeing yet another GP soon to try and find out why my Urology follow up from two years ago seems to have got lost in the system. I was told that if the meds failed to work then botox for the bladder was a possible option. No record of a follow up appointment!! With the bulky prostate diagnosis last year albeit with a annual PSA result of 1.53 I am wondering if this Tenesmus is related because as far as I know prostate and bowel are quite close. So I was wondering if anyone who suffers with an enlarged prostate also suffers with Tenesmus? which in case you are not aware is the constant feeling of needing a bowel movement even though there is no or very little stool to pass. Would welcome any thoughts, thank you.

Edited: by member 24 Aug 2025 at 11:51  | Reason: Not specified

Hi thanks for the reply.

i get the same impression they ask me what i want them to do!

ive seen a pelvic physio but no real help  but no internal massage etc

im going in next week for yet anther botox injection and injection of anti biotics!  certainly not holding my breath im just setting myslef up for this is how it is.

yes id certainly does affect my mood and i have less patients  for sure and can feel low.  i just take it a day at a time.

I might be sounding like a broken record- but finally this month I will be starting Invicorp.

I had Botox for the pelvic floor  muscles, which reduced pain but has  made it even harder to acheive an erection, plus now the emotional stress of it is creating a  mental block.

I can get turned on, so arousal isnt an issue its  getting it hard enough and moreso keeping it thats the issue.

I can still get good erections by myself- which is demoralising.

Is anyone aware of any reasons why it may not work because of my muscle related issues that cause the ED?

Also when finding the right spot.. which for me in the biggest hurdle...   not too far from the base in the right or left side at 10 or 2 right? How far in is best to insert?

Again, thank you for welcoming me here despite not having the more profound ED or cause of ED as the rest of the guys here.

ED forums or pages simply do not have  any information about Invicorp, its all Trimix Trimix Trimix, which you cant get here in the Uk and  I assume would only cause the pain I had with Viridal Duo anyway.

Thanks

Hi

I have been suffering from prostatitis symptoms for 2.5 years with no let up

initially treated with antibiotics which felt like they helped after a few weeks but in stopping was just the same

i then went private through bupa they suggested the same after 4 dirffenent lots of Antibiotics still no better had urodynamics test, cystoscopy   and prostatic secrestions tested, all clear

then put on flow max

asked if there is a scan we can do just see anything else going on , this found a cyst in the prostate

had this drained tunrned out infected with ecoli

more anbx   but still no change

had cyst removed via  TURP

recovered and still same symptom

since then had 2 ops to try botox in the prostate no differncet

tried physio, acupuncture and  anti depressants for blocking nerve pain

now my sypmtoms are just the same if not worse

i have always cycled alot but had a lot of time off to see if improved, nothing

it Burns when i go to the toilet and the feeling of needing to go never really goes  sometimes i go 20 mins later just to releave what feels like pressure on my prostate 

i was then passed to pain specialist but bupa wont cover a nerve block as just temp

im 47 and active and its affecting my whole life and family

im here for help if there are an recomended prostatitis specialist , im conviced there is still an infection but told not but i cannot carry on like this

I had botox injection in August last year for my neurogenic bladder condition.

I was told that I will be having it every 6 to 8 months to help with the bladder problems. 

I can attest that it works but I'm also permanently on Intermittent-catheters not because of the injection but cos of my preexisting permanent urine retention due to nerve damage stemming from a spine injury. 

I will surely continue with it but I have a concern about the injection kind of affecting my erection.

I'm not sure yet but I have neurogenic ED but it has improved with the use of herbal pills but after the botox injection it seems the pills no longer work as they use to and I'm thinking the botox injection could be the reason.

But not sure.

Hope this helps 

Edited: by member 16 Jan 2024 at 23:45  | Reason: Not specified

Thanks!  However, Urologists have said in the past that a radical prostatectomy was not an option. Following results from my forthcoming cystoscopy and urodynamics he has hinted at possible surgery (??) or ti repeat botox - has been unsuccessful in the past though created problems.

You need to find a urologist who really specialises in prostatitis to get treatment which works. Many have it on their list of activities, but few really specialise in it. Has it been confirmed it's bacterial prostatitis, and has the bacteria been cultured to identify which antibiotic it's sensitive to? Ciprofloxacin is one of relatively few antibiotics that can work in the prostate, but you do need to know the bacteria is sensitive to it, and not resistant to it. As you hint at, you don't want to take it without knowing it's the right antibiotic as it has potential side effects.

You haven't said what is causing the incontinence, so difficult to comment on that. The use of Botox might suggest you had urgency (unstable bladder).

Repeated UTIs in men are often caused by incomplete voiding when you have a pee (significant urine still in the bladder afterwards which ensures bacteria are continuously retained), or not drinking enough fluids, so there's too little flow through the bladder to be flushing out the small amounts of bacteria which get in there anyway, and they build up. Kidney stones can also be caused by not drinking enough fluids.

If you have several prostate problems including cancer (I'm guessing maybe enlarged prostate in addition to what you've said), that can be a reason to consider having a prostatectomy, even if the cancer itself maybe doesn't merit that alone.

You really need a urologist who's going to take this all on and treat the patient, rather than the issues piecemeal.

Constant UIT's and now a lengthy period of prostatitis. Have prostate cancer Stage 1 Gleason 3+3 with a long history of urinary incontinence, renal calculi requiring surgery. Unable to tolerate medication for incontinence and have had intravesical botox in 2015 and 2019. No overall effect.

Ciprofloxacin 500 mg bd for 4/52 has not helped with prostatitis long-term and has so many side-effects.

Any suggestions for more effective treatement?

Dave , trospium chroride otherwise known as regurin XL 60 was definitely prescribed by a professor at the Christie in Manchester for spasms. It brought my spasms down from around 30 spasms a day to anything between 0 and 2. I have tried oxibutynin, betmiga and some others.

I was going to have a third shot of Botox but after discussing it with my local consultant we decided to stick with the medication,in part due to the difficulty of getting into my bladder. 

I have sill got the flip flo and bag but generally stay on free drainage. Have you tried partly opening the flipflo to reduce to out flow.

Those with long term catheters probably understand that the water in the balloon reduces after a time, I only have 8mls in my balloon,by the time they change the catheter it is down to 3 or 4. I did intermittent self catheterization or dilatation, but only did it a couple of times a week, I found less was better, but I am not your doctor 😃.

Hope you get some resolution.

Thanks Chris 

Dave,I had Botox a couple of times even though my bladder had shrunk. It did work better the first time than the second time. I have a permanent suprapubic catheter and after trying lots of meds found trospium chroride to be very effective. I have found the position of the the catheter is the main cause rather that just the presence of the catheter. My last catheter was a nightmare,the current one has been perfect. An infection can cause or increase the amount of spasms.

Hope all goes well, are you have it done under general anaesthetic. 

Thanks Chris