[Intrasphincteric pharmacological treatments in neurourology].
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.
Gallien
P
P
Service de médecine physique et de réadaptation, Centre hospitalo-universitaire de Rennes, France. philippe.gallien@chu-rennes.fr
Nicolas
B
B
Petrilli
S
S
Durufle
A
A
Chartier-Kastler
E
E
Ruffion
A
A
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*
D000779:Anesthetics, Local; D019274:Botulinum Toxins, Type A