Botox for OAB

Urinary incontinence, no matter how minor or infrequent it may seem, can be an embarrassing and uncomfortable issue. If you’re having problems with bladder control, the physicians and advanced practitioners at Urogynecology of Kansas City, can help. Book your incontinence evaluation in our main office or at a satellite location.

What is Overactive Bladder (OAB)?

Overactive bladder is a common condition caused by an involuntary contraction of the bladder muscle (detrusor) leading to urinary frequency, urgency, nighttime voiding, and leakage of urine. This can have a significant impact on your quality of life.

How does Botox work for OAB?

Botox is used in patients who have not gotten relief from medications or other therapies. Botox is injected directly into the bladder and works by blocking nerve impulses to the bladder muscle causing temporary relaxation of the muscle. This can stop uncontrolled bladder contractions to allow for more normal functioning of the bladder.

How effective is Botox for OAB?

Botox takes approximately 2 weeks to work after the procedure. Our goal is to see a 50% reduction in your urinary symptoms after the procedure. This may mean less urinary leakage, less frequent urination, and/or fewer nighttime voids. It is rare that all of your symptoms resolve. Botox treatments typically last an average of 6 months. The procedure may be repeated when the symptoms return.

What are the risks?

Risks of the procedure include, but are not limited to:

Bleeding – it is normal to see some blood in your urine after the procedure. This will normally resolve on its own over the next several days.
Infection – you will receive an antibiotic after your procedure to help to prevent this.
Pain and discomfort – You may experience burning with urination, urinary frequency and urgency the first few times you void after the procedure.
Difficulty urinating – Some patients may need to temporarily use an intermittent catheter to help to empty their bladder until it regains its strength.

What can I expect during the procedure?

The procedure can be performed in our clinic. You will first be asked to provide a urinary sample to ensure that you don’t have a urinary tract infection. If it appears that you do, you will be treated with an antibiotic and asked to reschedule. Prior to the procedure, we will instill a topical numbing agent directly into your bladder. The physician will then look inside the bladder with a small scope called a cystoscope and inject the Botox directly into the bladder. Overall, you should plan on being at the clinic for about 60 minutes.

Instructions for after the procedure

Most women can resume normal activities after the procedure. You may drive yourself home afterwards. Be sure to drink several glasses of water after your procedure to help reduce bleeding and discomfort. Avoid fluids containing alcohol, caffeine, or carbonation for 24 hours as they may irritate the bladder lining. Taking a warm bath or holding a warm damp washcloth over the urethral opening may also help relieve any discomfort.

Contact our office immediately at (913) 262-3000 if you experience any of the following symptoms:

Trouble urinating
Heavy bleeding such as clots larger than a quarter
Chills or fever greater than 101 degrees
Confusion, disorientation or agitation
Severe abdominal pain

In rare occasions, the Botox can cause an allergic reaction. Seek emergent care if you experience difficulty breathing, vision problems, or generalized weakness.

    Excellent4.7241 reviews
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   Dana Smith 
 September 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I can't recommend Dr. Nosti and the team at Urogynecology of Kansas City enough. I had surgery with him last month, and from my very first evaluation appointment through recovery, the entire experience exceeded my expectations. Dr. Nosti took the time to listen, explain my options clearly, and made me feel confident and comfortable with my decision to move forward with surgery. The surgery itself went smoothly, and my recovery has been great.

Every member of the staff was kind, professional, and attentive at every visit. I'm so glad I made that first appointment to get evaluated — it's made a real difference in my quality of life. I would give Dr. Nosti and his team a 10/10 recommendation to anyone considering care with this practice.
  
 
      
   Patty Cowan 
 September 23, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Latasha Reed was great to work with. She was very thorough and took the time to listen to everything that was going on. She went beyond the scope of the initial reason I was coming to see her and helped me with another concern. I would highly recommend her.
  
 
      
   Shawn Kyndesen 
 September 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had my first visit with Kellie James, CRNP and she listened to all my concerns. She gave me a plan to help my urinary in-continuance. She was so easy to talk to!
I am so thankful that I saw her. My life has changed for the better!  SKK
  
 
      
   charnice burk 
 September 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti is great! I felt very confident in his work. He has done 2 procedures for me and both have gone so smooth. He tells you what to expect and has a plan for those things. I would refer him to anyone having gynecological issues that they need surgery for. Thanks Dr. Nosti!!
  
 
      
   Deb Hundley 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. As a Provider in the region I self referred to Dr. Nosti for female pelvic organ prolapse and stress incontinence. From the time I walked in the door for my initial consult to my post-op surgical follow up the process has been seamless. Any hiccups were anticipated and a plan was in place prior. I’ve been nothing but happy with this process and my results.
  
 
      
   Kathryn Gonzalez 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Everyone is so professional and Dr. Nosti is incredible.  Surgery went well.  I feel more confident.
  
 
      
   Rose Hamilton 
 August 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. This place was amazing, I was treated kindly and softly, everything explained to me as we went, my options and things to help till my next appointment.
The office itself is soft, clean, and quiet to help you feel more relaxed in an uncomfortable situation. Everyone was very friendly and respectful. I highly recommend this office.
Dr Stork was very friendly, took her time, explained everything and presented my options, pros and cons for each and let me make the choice. She was light-hearted and helped me feel at ease.
  
 
      
   Elaine Smith 
 August 16, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Nosti is wonderful, I would recommend him to any of my friends.  His office staff are kind, courteous and professional.  Highly recommend if you need urogynecology services!!
  
 
      
   Ashlee White 
 August 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I have dealt with IC and bladder pain for the last 3 years. Went to a urologist for years and tried anything he threw at me but after years of suffering and plenty of my own research (spiraling), I found Latasha online. She is the first provider that made me feel seen and heard and actually helped me feel better. Thank you, Latasha! ❤️
  
 
      
   Colleen Dublin 
 August 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti and LaTasha are excellent practitioners. They are a busy practice but always have time to make you feel like you're the only patient. (I wouldn't recommend a practice that isn't busy... if it's not, the practitioners aren't any good). The staff is excellent, too.
I'm a bit of an expert when judging urologists... I'm in my 50's and was born with a bladder condition. Needless to say, I've seen many urologists since childhood (I move around a lot).