Botox has been approved to treat adults with overactive bladder who cannot use or do not respond to anticholinergics. Botox is injected into the bladder muscle using cystoscopy causing the bladder to relax increasing the storage capacity and reducing episodes of urinary incontinence.  Treatment may be repeated with at least 12 weeks passing between treatments.  Patients should not have a urinary tract infection and antibiotics are recommended before, during and after the treatment to decrease risk of an infection.  What do you currently recommend to patients with overactive bladder that have failed anticholinergics?

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