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Injection Techniques for Bladder and Sphincter

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Pediatric Endourology Techniques

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Abstract

The past decade has witnessed a surge in the use of endoscopic-guided injection of different substances to treat pediatric urological issues, most notable vesicoureteral reflux and urinary incontinence. Two compounds – onabotulinum toxin A and dextranomer/hyaluronic acid – stand out as the most commonly employed ones administered in this “minimally invasive” fashion, often avoiding or delaying further surgical interventions in many patients. Although seemingly simple procedures, attention to indications, contraindications, technique, and monitoring is crucial in order to maximize benefits while avoiding misuse and/or harm. In this chapter we will focus on administration technique in the context of the most common indications, addressing potential pitfalls and complications.

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Author information

Authors and Affiliations

  1. Pediatric urology, Division of Urology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Armando J. Lorenzo MD, MSc, FRCSC, FAAP, FACS

  2. Division of Paediatric Urology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Joseph M. Gleason MD

Authors
  1. Armando J. Lorenzo MD, MSc, FRCSC, FAAP, FACS
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  2. Joseph M. Gleason MD
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Editor information

Editors and Affiliations

  1. Sheffield Children's NHS Foundation Trust, Sheffield, United Kingdom

    Prasad P. Godbole

  2. Hospital for Sick Children, Toronto, Ontario, Canada

    Martin A. Koyle

  3. The Children's Hospital, Aurora, Colorado, USA

    Duncan T. Wilcox

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© 2014 Springer-Verlag London

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Lorenzo, A.J., Gleason, J.M. (2014). Injection Techniques for Bladder and Sphincter. In: Godbole, P., Koyle, M., Wilcox, D. (eds) Pediatric Endourology Techniques. Springer, London. https://doi.org/10.1007/978-1-4471-5394-8_24

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  • DOI: https://doi.org/10.1007/978-1-4471-5394-8_24

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5393-1

  • Online ISBN: 978-1-4471-5394-8

  • eBook Packages: MedicineMedicine (R0)

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