NEW YORK (Reuters Health) – Injections of Botox, or botulinum toxin-type A, appear useful in the treatment of drug-resistant urinary Incontinence due to traumatic spinal cord injury, UK researchers report.
In fact, lead investigator Dr. Prasad S. Patki told Reuters Health, “Botulinum toxin A has had a profound impact on the quality of life of spinal cord injury patients.”
“Certainly the weight of evidence favors its regular use,” Patki added.
Until recently, there were few minimally invasive means of treating drug-resistant urinary incontinence in such patients, Patki of the London Spinal Cord Injuries Center, Stanmore, and colleagues note in BJU International, a medical journal.
To evaluate whether Botox shots might help avoid the need for surgery, the team studied 37 patients. All received Botox injections into the detrusor muscle, which controls bladder function.
Overall, incontinence was abolished in 82 percent of patients and detrusor overactivity was stopped in 76 percent. In all, 86 percent of patients were able to stop or reduce drug therapy and a similar proportion showed an increase in quality-of-life scores.
The mean duration of symptomatic improvement was 9 months, and 12 patients had a mean of 14 months of improvement. “Its short duration of action and ever-increasing number of patients on repeat injections may remain a cause of concern,” Patki said.
The researchers conclude, based on their experience, that Botox injection is an effective treatment “that bridges the gap between oral and invasive surgical treatment.”
SOURCE: BJU International July 2006.
By David Douglas
I would like to speak to a Dr. about maybe trying Botox injections to treat My Urinary Incontinence that has always been a problem, in the 29 years I have used a wheelchair. I am a T-3 Paraplegic, and have used a Super Pubic Catheter My whole SCI life, and also have taken Ditropan to slow down spasms, but I am 51 Years old now, and have put on some belly weight, and it seems the more active I am the more problems with incontinence I have had, and if I could take a shot every so often to stop this incontinence, it would improve My quality of life gratrly, and not have dry mouth from ditropan, not be afaid I am going to have an accident if I am with a lady, or out in public for that matter. Along with the ditropan, I use Manhood pouches incase of incontinence, and if those shots worked on Me it would save Me money, and not having to worry about bending over and having an accident, or any type of physical Activity I like to do. I live in New Hampshire, and can be reached at this e-mail address, and if I could take these shots, it would improve My Social Life 100 % Hope to hear back soon? Alan