Q Does Botox relieve urinary urgency and urge incontinence?

Further, because urinary sensation may be altered after Botox, women may not experience bothersome symptoms of retention. Nevertheless, more data on possible short- and long-term consequences are needed before changing clinical management of this type of retention (ie, I recommend continuing to treat retention rather than watchful waiting).

Until more data are available on risks versus benefits, I recommend against using Botox in women at high risk for complications associated with partial urinary retention. I would be particularly concerned about elderly women at risk of urinary tract infection that may lead to urosepsis.