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Gotta Go?


Learn about Botox and how it can be used for urogynecological issues from top experts at Tufts MC in Boston.Botox can help with that! Botox has a reputation as a wrinkle-eraser, but it has important medical applications as well.

Pelvic floor disorder specialists are using Botox as a noninvasive way to help women with incontinence. Tanaz Ferzandi, MD, Tufts Medical Center’s Director of the Division of Urogynecology and Pelvic Reconstructive Surgery, explains how it is helping many of her overactive bladder patients regain their quality of life:

“Overactive bladder is very common, even though most women don’t talk about it. Many women think that incontinence is a normal consequence of aging or childbirth, but that isn’t true.

“Botox works by causing temporary muscle paralysis. When the bladder muscle is overactive, it wants to contract and release urine too often, even if it isn’t full. By injecting Botox into the bladder muscle, we induce a temporary paralysis that helps quiet the feeling of having to go urgently or frequently. Botox allows the bladder to fill to a higher capacity so women can hold urine for longer periods of time.

“It’s an effective treatment option between lifestyle modifications (like limiting caffeine and alcohol) and the more invasive procedures—and it can be performed in the office. There’s no recovery time, and patients go home the same day. Research has shown that Botox treatments are more cost-effective than medication, and they can last up to 10 months.

“It’s really about improving your quality of life. Women with an overactive bladder should talk with their physician, who can help sort out the best treatment options for them.”

To book an appointment with Dr. Ferzandi or her colleague Danielle Patterson, MD, MSc, call 617-636-5890. For more information on treatments for an overactive bladder, please visit