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

Chen Hui1,, Yang XH, Huang MP, Huang TH, Liu QL, Li QQ, Yang XY, Xiao XH, Liu J, Xie Keji and Jiang Chonghe

Department of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital and Jinan University, China
Department of Urology, Qingyan City People's Hospital, Jinan University, China
Department of Urology, Guangzhou First Municipal People’s Hospital, China

^*Correspondance to: Chen Hui 

 PDF  Full Text DOI: 10.25107/2474-1647.1919

Abstract

Objective: To evaluate video-urodynamic improvement for trigonal BTX-A injection in patients with neurological poor bladder compliance.Methods: 68 consecutive in patients 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 postinjection.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.Conclusion: Trigone-including BTX-A injection is safe and effective as the treatment for low BC and does not induce VUR.

Keywords

Cite the article

Hui C, Yang XH, Huang MP, Huang TH, Liu QL, Li QQ, et al. Video-Urodynamic Improvement of Trigonal BTX-A Injection for Patients with Poor Bladder Compliance Secondary to Spinal Cord Injury. Clin Surg. 2018; 3: 1919.