title: [Intrasphincteric pharmacological treatments in neurourology].
abstract: Neurogenic detrusor-sphincter dyssynergia can be treated medically by intrasphincteric injection of lidocaine or botulinum toxin. The indications, practical modalities and results of these two molecules are described in the light of a review of the literature, which indicates that lidocaine injections alone are useless. The results of the various types of transperineal injection of botulinum toxin A with electromyographic or direct endoscopic guidance are described.
authors.affiliation: Service de médecine physique et de réadaptation, Centre hospitalo-universitaire de Rennes, France. philippe.gallien@chu-rennes.fr
authors.forename: P
authors.initials: P
authors.lastname: Gallien
authors.forename: B
authors.initials: B
authors.lastname: Nicolas
authors.forename: S
authors.initials: S
authors.lastname: Petrilli
authors.forename: A
authors.initials: A
authors.lastname: Durufle
authors.forename: E
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
mesh_terms: D000779:Anesthetics, Local / Q000627:therapeutic use; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D006801:Humans; D001745:Urinary Bladder Diseases / Q000188:drug therapy*; D014555:Urination Disorders / Q000188:drug therapy*
chemical_list: D000779:Anesthetics, Local; D019274:Botulinum Toxins, Type A