Urinary incontinence due to neurogenic detrusor overactivity is common in patients with disorders of lower motor neurons controlling the bladder. Multiple sclerosis is a major cause of neurogenic detrusor overactivity, which negatively impacts quality of life. Bladder wall injection of onabotulinum toxin A can diminish spontaneous bladder contraction, urinary urgency, and urge incontinence. Herein we report a 61-year-old woman with multiple sclerosis and autosomal dominant polycystic kidney disease with bladder trabeculation developing after repeated injections of onabotulinum toxin A.
Radiology case reports. 2018 Jun 01*** epublish ***
Syed Imran Raza, Ashkan Heshmatzadeh Behzadi, Jon D Blumenfeld, Sarah K Girardi, Martin R Prince
Department of Radiology, Weill Cornell Medical College & New York Presbyterian Hospital, New York, NY, USA., The Rogosin Institute, New York, NY, USA., Department of Urology, North Shore University Hospital, Manhasset, New York, NY, USA.