ICS Podcast

In this episode of the ICS Podcast, we explore how botulinum toxin (BoNT‑A) injection techniques for overactive bladder (OAB) are evolving—and why injection location, depth, and template may matter more than ever.
Hosted by Juan Peñafiel and Shannon Wallace, the discussion brings together two internationally recognised experts: Benoit Peyronnet (Urologist) and Michael Kennelly (Neurourologist). Together, they examine the growing evidence behind trigonal and trigone‑sparing injection strategies, challenging long‑held dogmas around reflux risk and urinary retention.
Key topics include:
Why and when to consider trigonal or predominantly trigonal injection templates
How injection depth, volume, and number of sites influence outcomes
Strategies to reduce the risk of urinary retention while maintaining efficacy
Differences in approach for idiopathic vs neurogenic OAB
Practical tips for training, technique, and tailoring treatment to individual patients
The conversation also reflects on gaps in the current evidence base, what future trials are still needed, and how clinicians can safely adapt their practice today.
ICS Podcast
Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.
Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.
Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

Wrap up ICS-EUS 2025 with Adrian Wagg, Angie Rantell, and Shannon Wallace as they reflect on the most impactful moments and lasting takeaways from the final day. 
Recorded at ICS-EUS 2025 Abu Dhabi.
ICS Podcast
Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.
Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.
Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

Discover global trends and innovative practices in physiotherapy as Paula Igualada Martinez, Georgia Walker, and Marie-Pierre Cyr share insights from the ICS-EUS 2025 Physiotherapy Forum. 
Recorded at ICS-EUS 2025 Abu Dhabi.
ICS Podcast
Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.
Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.
Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

In this episode, host Shannon Wallace, Urogynaecologist, sits down with two colleagues from Ohio who work alongside her in a truly integrated pelvic floor team: Anna Spivak, Colorectal Surgeon, and Cameron Pikula, Pelvic Floor Physical Therapist. Together, they explore why multicompartment prolapse requires more than a single‑specialty viewpoint—and how collaborative care can transform diagnostic clarity, patient counselling, and long‑term outcomes.
Whether you are part of a multidisciplinary unit or practice in a setting without close-access colleagues, this episode offers practical insights, red flags to watch for, and suggestions for building collaborative pathways in your own environment.
ICS Podcast
Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.
Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.
Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.

Explore the latest debates and developments in urology with Yasser Farahat, Mohsen Elmekresh, and Yassir Saeedi as they unpack key topics from their engaging EUS workshop. 
Recorded at ICS-EUS 2025 Abu Dhabi.
ICS Podcast
Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971.
Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions.
Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.