eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-02-08 6 1 15 17 10.12691/ajmcr-6-1-5 AJMCR2018615 article Jiang Zhuocheng 1 Chen Hui 2 3 Yang XH 3 Huang MP 3 Huang TH 3 Liu QL 3 Li QQ 3 Yang XY 3 Xiao XH 3 Liu J 3 Xie Keji 4 Jiang Chonghe 4 Department of Surgery, The Second People's Hospital of Baiyun District, Guangzhou, China Department of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital and Jinan University, Guangzhou, China Department of Urology, Guangzhou First Municipal People's Hospital, Guangzhou, China 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. http://pubs.sciepub.com/ajmcr/6/1/5/ajmcr-6-1-5.pdf video-urodynamic bladder trigone botulinum toxin A low bladder compliance spinal cord injury