{"id":2208,"date":"2026-08-18T00:42:45","date_gmt":"2026-08-18T00:42:45","guid":{"rendered":"https:\/\/oabtherapy101.org\/?page_id=2208"},"modified":"2026-09-26T14:26:50","modified_gmt":"2026-09-26T14:26:50","slug":"54-advanced-2","status":"publish","type":"page","link":"https:\/\/oabtherapy101.org\/?page_id=2208","title":{"rendered":"54 Advanced"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"uuewY44JDLQo_uuewY44JDLQo\" class=\"brz-section brz-section__header brz-section__header-type--fixed brz-css-d-1qa21x7 brz-css-1g2yocm\" style=\"height: auto;\">\n<div class=\"brz-section__header--fixed\">\n<div class=\"brz-section__menu-item brz-css-d-1pmg9eu brz-css-1qjjrjy\" data-brz-custom-id=\"xFj2H8GvJbuH\">\n<div class=\"brz-bg\">\n<h2 class=\"brz-bg-color\" style=\"text-align: center;\"><strong>Advanced Therapies<\/strong><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"t_wj5KDMItxI_t_wj5KDMItxI\" class=\"brz-section brz-css-d-ynf0il brz-css-162vz6w\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-1u3iap6\" data-brz-custom-id=\"v6dmKblVb_3u\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-4hzbhr\">\n<div id=\"\" class=\"brz-css-d-1wonu5h brz-css-xgeypf brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-1ehz5mr brz-css-pqtduq\" data-brz-custom-id=\"g05euZus6xDU\">\n<div data-brz-translate-text=\"1\">\n<h3 data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"nsIoT\"><\/h3>\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"nsIoT\"><strong class=\"brz-bold-true\">Botox injections into the bladder<\/strong><\/h3>\n<ul>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"tFuev\">Onabotulinumtoxin, commonly used for OAB.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"aH4wl\">Not surgery in the traditional sense.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"pilml\">Usually performed in a physician&#8217;s office or procedure setting.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"bx3AA\">Potential risks of significant side effects &#8211; do your research.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"e7Q09\">Temporary, but repeatable.<\/li>\n<\/ul>\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"hWtYO\"><strong class=\"brz-bold-true\">Sacral Neuromodulation<\/strong><\/h3>\n<ul>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"yNzzr\">Implanted systems stimulate nerves near the sacrum instead of the tibial nerve.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"mKJZC\">Requires an implanted device.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"wLID_\">Usually considered after less invasive approaches.<\/li>\n<\/ul>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"kpPAS\"><strong>Botox and implanted neuromodulation systems may be appropriate when earlier treatments have not provided satisfactory results. Both require consideration of the benefits, risks, costs, and continuing treatment or follow-up that may be required.<\/strong><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"qISMm\">Botox is less invasive than an implant, but its effects are temporary, side effects may be significant, and treatment may need to be repeated periodically.<\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"xkwXq\">If you are considering Sacral Neuromodulation, you may also want to learn about Revi, a tibial nerve stimulation implant discussed later in this website. <strong>These implants stimulate different nerves and involve different procedures, benefits, risks, costs, and continuing care.<\/strong><\/p>\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-generated-css=\"brz-css-1toj24g\" data-uniq-id=\"hZjto\">You will need to do your own research as well as consult more than one physician to understand these alternatives well enough to make a knowledge-based decision. A detailed comparison of these implanted therapies depends on the individual patient and is beyond the scope of this OAB Therapy 101 course.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"d_i0JabWnqTV_d_i0JabWnqTV\" class=\"brz-section brz-css-d-ynf0il brz-css-1x3wl5j\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-1uapx5i\" data-brz-custom-id=\"cXOnKuvZzKVa\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-18ijt3c\">\n<div class=\"brz-row__container brz-css-d-w3a52u brz-css-1qmduvh\" data-brz-custom-id=\"hwa0Lq2KPHSU\">\n<div class=\"brz-row brz-css-d-1n95ksq brz-css-r-1xc399q brz-css-196zkc8\">\n<div class=\"brz-columns brz-css-d-j7y22h brz-css-1jzb1lf\" data-brz-custom-id=\"vwJ8YYnuwWwh\">\n<div class=\"brz-column__items brz-css-d-v5w42e brz-css-13vlzbr\">\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-x0dcve brz-css-x0hknr\" data-brz-custom-id=\"x79hv3syU_BM\"><a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-1e442kd brz-css-d-13c78oe brz-css-14mjed6\" href=\"https:\/\/oabtherapy101.org\/?page_id=2089\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"xX46gIeBG1o8\"><span class=\"brz-span brz-text__editor\" data-brz-translate-text=\"1\">BACK<\/span><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0<a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-nloeri brz-css-d-13c78oe brz-css-1k29vq5\" style=\"font-size: 16px; background-color: #ffffff;\" href=\"https:\/\/oabtherapy101.org\/?page_id=3430\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"sXNCSQ0VZlgl\"><span class=\"brz-span brz-text__editor\" data-brz-translate-text=\"1\">NEXT<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p><!-- version:1789675594 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Advanced Therapies Botox injections into the bladder Onabotulinumtoxin, commonly used for OAB. Not surgery in the traditional sense. Usually performed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2065,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2208","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>54 Advanced - OABTherapy101.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/oabtherapy101.org\/?page_id=2208\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"54 Advanced - OABTherapy101.org\" \/>\n<meta property=\"og:description\" content=\"Advanced Therapies Botox injections into the bladder Onabotulinumtoxin, commonly used for OAB. 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