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Cystoscopic approach shows lower safety profile compared to ultrasound-guided injection for detrusor overactivity in spinal cord injury patients, indicating a preferred alternative.
Ultrasound-guided transabdominal BoNT-A injection is as effective as the cystoscopic approach for SCI-induced DO, but offers a superior safety profile and greater patient acceptance. The technique also significantly improves storage-phase safety parameters, making it an advantageous alternative, especially for patients unsuitable for cystoscopy.
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Wang et al. (2025) studied this question.
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