Bladder diverticuli following injection of onabotulinum toxin A in a patient with multiple sclerosis and autosomal dominant polycystic kidney disease

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.

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