Transperineal Injection of Botulinum Toxin A for Treatment of Detrusor Sphincter Dyssynergia: Localization With Combined Fluoroscopic and Electromyographic.

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Transperineal Injection of Botulinum Toxin A for Treatment of Detrusor Sphincter Dyssynergia: Localization With Combined Fluoroscopic and Electromyographic Guidance Su-Ju Tsai, MD, Tsung-Ho Ying, MD, PhD, Yu-Hui Huang, MD, Ju-Wen Cheng, MD, Liu-Ing Bih, MD, Henry L. Lew, MD, PhD Archives of Physical Medicine and Rehabilitation Volume 90, Issue 5, Pages 832-836 (May 2009) DOI: 10.1016/j.apmr.2008.10.023 Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Fluoroscopic image with illustrations of vesicourethral anatomic structures as performing transperineal insertion of a Teflon-coated needle electrode. Fluoroscopy showing a contrast-filled catheter balloon (A) with a radioopaque line of catheter channel (B) extending along the urethra. Arrowheads outline the bladder wall (▶) and the long arrows point toward the membranous urethra (→). The final localization of needle electrode (C) inserting in the external urethral sphincter. Archives of Physical Medicine and Rehabilitation 2009 90, 832-836DOI: (10.1016/j.apmr.2008.10.023) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions