Does anyone has real practical experience with the management of interstitial cystitis (IC)/ Bladder pain syndrome (BPS)? Is there an effective practical role for intravesical Botulinum Toxin (Botox)?
I have used the agent in selected cases of BPS, usually where urinary frequency is also present and contributing to the pain. The response in my patients has been inconsistent. The benefit, when seen, is transient. Would certainly consider it in patients that have failed conventional therapy.