A Clinical Study on Botulinum A Toxin in Treatment of the Spinal Cord Injury with Neurogenic Bladder
To evaluate the eff ects of Botulinum Toxin Type A (BTXA) injected into the external urethral sphincter in patients with dctrusorexternal sphincter dyssynergia caused by spinal cord injury. Th e eff ects of transurethral (TU) versus transperineal (TP) BTXA injection were compared. 17 male patients with detrusor-sphincter dyssynergia were divided into 2 groups: TU group and TP group. Four points injection method was employed with allocation by cystoscope in TU group. 1 point injection method percutaneous around the urethral was employed with allocation by digital rectal examination.
