Intradetrusor OnabotuliniumtoxinA injection for refractory bladder spasms before vesicovaginal fistula repair.
Urology Case Reports
This is a report of a women who failed 2 surgical repairs of vesicovaginal fistula secondary to refractory bladder spasms. After each surgical procedure - the hysterectomy and subsequent fistula repairs - the patient reported severe bladder spasms refractory to medical management. Our treatment was intradetrusor onabotuliniumtoxinA injections 4 weeks prior to a planned surgical fistula repair. The patient had successful vaginal approach fistula repair and has not required any subsequent overactive bladder (OAB) treatment.
Sirls E, Peters KM, Sirls LT. Intradetrusor onabotuliniumtoxinA injection for refractory bladder spasms before vesicovaginal fistula repair. Urol Case Rep. 2022 Dec 25;46:102307. doi: 10.1016/j.eucr.2022.102307. PMID: 36606098.