Intradetrusor OnabotuliniumtoxinA injection for refractory bladder spasms before vesicovaginal fistula repair

Abstract

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.

Keywords

• Vesicovaginal fistula
• Detrusor spasm
• onabotuliniumtoxinA
• Overactive bladder