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Interventions to improve tolerability of local anesthetic intradetrusor Botulinum toxin injections: A systematic review

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Intradetrusor BotulinumtoxinA (BTA) injections are recommended for patients with overactive bladder (OAB) refractory to lifestyle changes and medical intervention. It is preferable to perform injections using a flexible cystoscope under… Click to show full abstract

Intradetrusor BotulinumtoxinA (BTA) injections are recommended for patients with overactive bladder (OAB) refractory to lifestyle changes and medical intervention. It is preferable to perform injections using a flexible cystoscope under local anesthetic (LA) rather than under spinal or general anesthetic owing to the associated anesthetic risks, increased costs, and need for repeated inpatient admission. Injections under LA can be difficult to tolerate for some patients. This review aims to assess interventions that may improve the tolerability of intradetrusor BTA injections under LA.

Keywords: interventions improve; intradetrusor; local anesthetic; improve tolerability; tolerability local

Journal Title: Neurourology and Urodynamics
Year Published: 2022

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