American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2018, 6(1), 15-17
DOI: 10.12691/ajmcr-6-1-5
Open AccessArticle

Video-urodynamic Improvement of Trigonal BTX-A Injection for Patients with Poor Bladder Compliance Secondary to Spinal Cord Injury

Jiang Zhuocheng1, Chen Hui2, 3, , Yang XH2, Huang MP2, Huang TH2, Liu QL2, Li QQ2, Yang XY2, Xiao XH2, Liu J2, Xie Keji4 and Jiang Chonghe3

1Department of Surgery, The Second People's Hospital of Baiyun District, Guangzhou, China

2Department of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital and Jinan University, Guangzhou, China

3Department of Urology, Qingyan City People's Hospital, Jinan University, Guangdong, China

4Department of Urology, Guangzhou First Municipal People’s Hospital, Guangzhou, China

Pub. Date: February 07, 2018

Cite this paper:
Jiang Zhuocheng, Chen Hui, Yang XH, Huang MP, Huang TH, Liu QL, Li QQ, Yang XY, Xiao XH, Liu J, Xie Keji and Jiang Chonghe. Video-urodynamic Improvement of Trigonal BTX-A Injection for Patients with Poor Bladder Compliance Secondary to Spinal Cord Injury. American Journal of Medical Case Reports. 2018; 6(1):15-17. doi: 10.12691/ajmcr-6-1-5


Objective: To evaluate video-urodynamic improvement for trigonal BTX-A injection in patients with neurological poor bladder compliance. Methods: 68 consecutive inpatients with poor bladder compliance secondary to spinal cord injury(SCI) received trigonal injections of BTX-A(300U) into the bladder from June 2014 to February 2017. All were evaluated video-urodynamic outcome included detrusor leak point pressure (DLPP), bladder compliance (BC) and vesicoureteral reflux (VUR) at baseline and 12 weeks post-injection. Results: all outcomes improved significantly compared to baseline. The improvement percentage of DLPP (44.36%) and BC(77.13%). No patient developed unilateral or bilateral VUR. Conclusions: Trigone-including BTX-A injection is safe and effective as the treatment for low BC and does not induce VUR.

video-urodynamic bladder trigone botulinum toxin A low bladder compliance spinal cord injury

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