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.

Who May Be a Candidate for Botox for OAB?

Botox may be an option if urgency, frequent urination, or urge-related leakage continues despite medication or other treatments. Before recommending it, we review your symptoms, health history, and prior treatment response to confirm overactive bladder is the likely cause.
Tell us if you have trouble emptying your bladder, since Botox may temporarily make urination more difficult and some patients need intermittent catheterization. We also discuss your priorities and comfort with the procedure and follow-up.

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 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 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

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

Latasha Reed, WHNP is the best women’s health Urogynecology provider I have ever encountered!!

I drive 3.5 hrs to come see her despite having closer urogyn physicians closer to me.

She is one of the few providers out there that wants to make sure the root cause is treated. She has an amazing bedside manner. Her procedural skills are phenomenal and she’s always wanting the best for her patients.

She can navigate the most difficult cases and provide complete care.

I have the utmost respect for her as a human and practitioner and am so thankful she’s helping women with pelvic and bladder pain.

Thank you Latasha Reed!

-Anna E.

Why Choose Urogynecology of Kansas City?

At Urogynecology of Kansas City, our board-certified, fellowship-trained urogynecologists treat female pelvic floor conditions, including urinary incontinence. Dr. Abby Stork provides Botox treatment for OAB. She and Dr. Patrick Nosti have subspecialty training in female pelvic medicine and reconstructive surgery, with experience managing urinary incontinence. Dr. Stork reviews your symptoms and treatment history to determine whether Botox is an appropriate option.

Botox for OAB FAQs

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Does Botox for OAB treat leakage during exercise?

Botox is used for overactive bladder symptoms, including leakage following a sudden urge to urinate. Leakage during coughing, sneezing, or exercise may have a different cause and need a separate evaluation.

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What if I have both urgency and leakage with coughing or exercise?

Some people have symptoms of both overactive bladder and stress urinary incontinence. We assess each symptom pattern and discuss care options based on its cause.

Discuss Botox for OAB in Kansas City

If urgency, frequent urination, or urge-related leakage is affecting your daily life, our team can discuss whether Botox may be appropriate for you. Contact Urogynecology of Kansas City for an evaluation at our Overland Park or Independence office.

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   Gwen Morgan 
 November 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I’m very grateful to Dr Nosti for the success of my bladder surgery.  I am 8 weeks out and to date this surgery has definitely changed my quality of life.  I sincerely wish I had found him years ago and had this surgery.    Without my other doctors encouraging me I might never have gone to see Dr. Nosti because of the distance of the drive. My physical, emotional, and mental outlook have been altered positively due to this surgery.  His skills have made my life so much better!
  
 
      
   Cathy Zinke 
 November 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti and his staff are the best. My gynecologist recommended his office and I'm grateful she did. They are professional and very caring towards their patients. From the moment I entered his office, that first appointment, trying to figure out the best choice for my particular situation, the surgery, recovery and post-op appointment, and insurance questions that came up, everyone treated me with compassion. I have already told friends that if they need a Urogynecologist they should definitely use Dr. Nosti.
  
 
      
   Maseerah Muradabadi 
 November 12, 2026
 
 
 Trustindex verifies that the original source of the review is Google. The best doctor for post delivery recovery! Excellent diagnosis and treatment! I highly recommend Latasha Reed WHNP! I was diagnosed with BPS / IC for 8 years post my first c section, I saw too many providers in India as well as the US. However, this time when I checked in with Latasha, she was so accurate with my diagnosis and suggested excellent treatment and medication options which helped me get rid of my issues and restored the quality of life that I always wanted !!
  
 
      
   Barb Pink 
 November 12, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I would highly recommend Dr Patrick Nosti MD for any women with urology issues or other female issues I put off my issues way too long & am so happy my gynecologist referred me on to Dr Nosti. He is professional & explains treatment plans fully so you can make choices right for you. Please do not wait for help. Call his office now!
  
 
      
   Kathy Ginestra 
 November 9, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Kind and understanding. Surgery went very well.  Very happy I used Dr Nosti.
  
 
      
   Texanna Ollenberger 
 November 9, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti,   Please excuse my tardiness in Thanking You for doing my surgery and giving me the opportunity to do a newer surgery that provided me with a quicker recovery time than what I had expected. I have just finished my 12th week following surgery. I feel great and for the past 6 weeks I have been back to my regular work schedule. No longer do I rely on my children or friends to help me. THANK YOU!  Sincerely, Texanna Ollenberger
  
 
      
   Lorraine Ford 
 November 6, 2026
 
 
 Trustindex verifies that the original source of the review is Google. If your looking for a urogynocolist Dr Nosti is your man he's the best. Great beside manners,caring and compassionate. Great staff too.
  
 
      
   Jenny H 
 November 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I cannot recommend LaTasha Reed, WHNP, highly enough. From the moment you walk into her care, it is completely evident that she treats her patients as whole people, not just a list of medical symptoms.
No one ever wants to find themselves needing treatment for women’s health issues, but LaTasha approaches her work with a profound sensitivity to exactly that. She pairs deep clinical expertise with genuine compassion, completely removing any anxiety or discomfort from the experience.
Instead of the usual rushed, quick-visit feel of modern medicine, LaTasha takes the time to truly get to know you beyond the chart. She dedicates an impressive amount of time to patient education, ensuring you fully understand your body, your options, and your path forward. If you are looking for a provider who will truly advocate for you, listen to you, and invest in your well-being, LaTasha is the absolute gold standard.
  
 
      
   Kathleen Asbury 
 November 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Nosti is a great listener! I am 6 weeks post op and he was reassuring, kind, and a definite expert in telling me what to expect! Everything he has explained has been exactly as I've experienced it. How wonderful for his patients! I would highly recommend Dr. Nosti and everyone in his office for Urogynecology care.
  
 
      
   Veronica Malm 
 October 16, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I am so grateful to have found Dr. Nosti. He is incredibly kind, patient, and always takes the time to answer all of my questions. He is an outstanding professional, and I feel very fortunate to have been under his care.
His entire team, from the clinic staff to the operating room team, was truly wonderful.Everyone was extremely professional, attentive, compassionate, and supportive exactly what you need when going through surgery.
Six weeks after my surgery, I can honestly say that I would rate this entire team a 10/10, both professionally and, just as importantly, on a human level.
Thank you, Dr.Nosti, and thank you to the entire team for taking such great care of me. I couldn’t be more grateful!💕