Effect of intravesical botulinum neurotoxin-A injection on detrusor hyperreflexia in spinal cord injured patients

  • Ge X
  • Li Y
  • Wang Q
 et al. 
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Abstract

PURPOSE: To evaluate the effects of Botulinum Toxin A injection into the detrusor muscle on various voiding parameters in spinal cord injured patients with neurogenic detrusor hyperreflexia Materials and methods: 24 patients with spinal cord injuries who had detrusor overactivity and urinary incontinence and were refractory to oral medications, were injected 300 IU of BTX-A into the detrusor muscle. The pre-and post-treatment evaluations included determination of bladder urinary continence status, frequency/volume chart of CIC, Incontinence Quality of Life questionnaire (I-QOL) and patient satisfaction. The urodynamic parameters measured included maximum cystometric capacity (MCC), reflex detrusor volume (RDV) and maximum detrusor pressure during bladder contraction (MDP) were analyzed at the outset and during the follow-up (2, 6, and 24 weeks) examinations. RESULTS: The evaluation of urodynamic parameters during follow-up examinations (2, 6 and 24 weeks) revealed significant increase in mean reflex volume (p

Author-supplied keywords

  • botulimium toxin A
  • neurogenic detrusor hyperreflexia
  • spinal cord injuries
  • urodynamics
  • voiding

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Authors

  • X. T. Ge

  • Y. F. Li

  • Q. Wang

  • J. N. Zhao

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