Evaluation of Intra-Detrusor Injection of Botulinum A Toxin in Neurogenic Bladder in Patients with Multiple Sclerosis

ASHRAF GAMAL FAHMY;

Abstract


Abstract
Background: Early diagnosis and amelioration of lower urinary tract symptoms is a key
focus in the management of multiple sclerosis. Untreated LUTS can lead to increased
morbidity and mortality, for instance as a result of irreversible changes in the lower
urinary tract itself, recurrent UTIs, renal stones, renal function impairment, and lowered
HR-QoL. Aim of the Work: to assess the effects of intradetrusor muscle injection of
botulinum A toxin on urgency & urgency urinary incontinence, urodynamic variables, and
quality of life in patients with MS and voiding dysfunction. Patients and Methods: This
prospective randomized control study was conducted on 40 patients recruited after signing
a formal consent. The patients had been subjected to cystoscopy and intradetrusor
injection of 200 U of botulinum A toxin, sparing the trigon, with consent to do CIC if
needed. We had compared between the results of urodynamics and patients’ satisfaction
before and after botulinum A toxin injection. :


Other data

Title Evaluation of Intra-Detrusor Injection of Botulinum A Toxin in Neurogenic Bladder in Patients with Multiple Sclerosis
Other Titles تقييم حقن سم البتيولينم في جدار المثانة لعلاج المثانة العصبية لدى مرضى التصلب المتعدد
Authors ASHRAF GAMAL FAHMY
Issue Date 2019

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