Steve_bhuk

Mmmm. Long story or short answer, that is the question?? I have had the desire to experience incontinence since I was about 11-12, but it was only after I got private medical insurance through my job much later in life that I was able to make any progress towards getting professional help. I started by seeing a Harley Street psychiatrist who was very supportive, and not only wrote to my GP, but also referred me to a Urolologist friend of his. Although his friend was not able to help, he in turn referred me to another Urolologist. It was this doctor who after 2-3 years of discussions eventually agreed to do the first Botox injection as a supplement to a bladder neck incision that I needed to cure some genuine urological problems that I had at the time. He also did the other two Botox injections without hesitation when I requested them. As I said previously the closest I got to being incontinent, was after the third try, when I had the bladder control of a potty training toddler, and would eventually end up wetting my nappy; not quite a flood, but a good stream. I was upfront and completely honest with the psychiatrist, both urologists, and my GP about what, and why, I wanted as this was the only way that I could see to achieve what has been an almost lifelong desire. Unfortunately Botox is not a long-term solution, as the effects only last for between 3-6 months, depending on which muscles it is injected into. The stronger the muscle, the quicker the effects will wear off. So, no I am not currently classed as incontinent. If you could get a Urolologist to inject the external sphinicter with a long acting local anesthetic, you should get the 'benefit'? of the effects for about 6-12 hours.

I have had Botox injections into my external urinary sphinicter three times using 100, 200, and finally 300 units. These treatments were done under general anaesthesia about 6 months apart, with the last one being in mid 2013. The first two treatments were not very successful, and I still had pretty much full control, although I think there was some wetting whilst I slept. The third treatment was more successful, but did not result in full urinary incontinence. I had that last treatment 2, or 3, days before going to a Star Wars Celebration in Germany, followed by a 3 week railway tour around Germany, a visit to Paris and Disneyland Europe, returning home to the UK. It felt incredably freeing to know that I was going to be somewhat dependent on nappies for the whole trip. I could still clench my external urinary sphinicter, and hold it for a few seconds before it relaxed. Using this technique I was able to go about 2 hours from first feeling some pressure in my bladder to not being able to stop it from starting to empty. I would have to equate my bladder control during the trip to that of a toddler. If I went to the potty when I felt the need I would not have an 'accident', but if I didn't, and also whilst I slept, I would end up wetting my nappy. I would love to have this done again using 400 units of Botox to see if it would give even more relaxation of the external sphinicter, and result in a total inability to clench the sphinicter.

I have had Botox injections to my external urinary sphinicter in the past and would be happy to share my experience with you.