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Bladder Botox is used for severe cases of Urge Incontinence who are refractory to Medical Management. This surgical video demonstrated injection of Botulinum Toxin A in bladder by one of the experts in the field: Dr Christian Fuenfgeld, Head of the department, Urogynecology, Clinic Tettnang Germany. The procedure was performed in KMC Manipal (department of OBG), Karnataka, India during our annual Urogynecology Course - MUG in 2019. We have designed this annual course/workshop with the aim to educate postgraduate students (Gynecology) and young Gynaecologists to improve the quality of care of women with pelvic floor disorders. Statistical projections estimates that globally 58 million women will have at least one PFD by 2020. In the United States alone the number of women with at least one PFD would increase from 38.1 million in 2019 to 43.8 million by 2050. It is estimated that during this same period, the number of women with urinary incontinence will increase 55%, women suffering from faecal incontinence will increase 59%, and the number of women with pelvic prolapse will increase 46%. Though we have no real estimates of burden of disease and future predictions from India, it is suggested that millions of women are silently suffering. As Urogynecology is the newest branch or Gynaecology and in India there is still no formal training available for the same, there is an immense need to train the youngsters about diagnosis and principles of treatment related to PFDs. Follow us at / manipalurogynecology / mug20.20