Overactive bladder (OAB) is a chronic, often debilitating condition requiring sustainable long-term management, yet persistence on therapy—whether pharmacologic or procedural—has historically been poor. In this video series, Steven Bernstein, MD, a urologist in community practice in Minnesota, describes how a methodical, patient-centered evolution in his onabotulinumtoxinA (Botox) injection technique—from the standard 20-site protocol to a single-site approach—has dramatically reduced procedural burden while preserving efficacy. Drawing on more than a decade of clinical experience and data from a retrospective chart review of 90 patients, Bernstein reports that the reduced-site protocol yielded a greater than 93% response rate, a retreatment interval of approximately 7.5 months, and persistence rates exceeding those reported in published literature with conventional injection techniques.