My first serious UTI occurred in 1984. A trip to the urologist resulted in a cystoscopy and 12 weeks of antibiotics. My next UTI began while visiting Disneyworld in 1988. A new urologist prescribed antibiotics but I wasn't responding the way he had hoped. He sent me for a MRI. The urologist delivered my official MS diagnosis in January 1989. So my symptoms which felt like a UTI were not really due to UTI, but rather my neurological condition of MS.
I began a trial of various bladder medications intending to slow my bladder down to reduce my symptoms of urinary frequency and urge incontinence. Eventually the same urologist determined I had a spastic bladder. So I tried a different med. The results were usually a dry mouth and some relief from frequent trips to the bathroom or accidental overflows.
I had a visit to the same urologist's office with a new nurse practitioner, Bernadette Greco. She suggested I see Dr. Toby Chai, a urologic surgeon at the University of Maryland Medical Center. She had worked with him and thought he could help me. I was anxious to try something or someone new, so I made that phone call.
When I first met Dr. Chai, the Botox Study was in its infancy. He told me if I wanted to participate, I needed to learn to do self catheterization of my bladder. He sent me to the clinic to work with a nurse to learn this technique. The challenge was accomplished after I went home and taught myself.
I am positive I received Botox the first procedure (at that time, it was a blinded study meaning that I could have received either Botox or a placebo). My bladder was different soon after this. I wasn't desperate to get to the bathroom.
The procedure has affected my life in a very positive way. A bathroom is not the first place I visit when I arrive at a destination. I use the bathroom less often. While I still use pads (just in case), the cost is down significantly.
Dr. Chai and his staff are kind, caring people. I have always felt comfortable in what many would find to be an uncomfortable situation. Anyone with bladder issues would be lucky to have Dr. Chai as their doctor.