[Review of the use of botulinum toxin in urology]

There are several procedures for the management and treatment of the neurogenic bladder. These are adjusted individually according to the results of the clinical examination and complementary tests. This study evaluates the results of treatment with botulinum toxin and its place in current therapeutic armamentarium.

We reviewed the outstanding literature in the field of neurorology on the criteria, indications, side effects and applications of botulinum toxin.

Most of the authors have reported botulinum toxin to be useful in the treatment of voiding disorders secondary to neurological and pelvic floor muscle disorders.

Intramuscular injection of botulinum toxin in the detrusor or external sphincter of the bladder produces a paralyzing (relaxing), therapeutic and reversible effect. The latter is one of its most important characteristics. It has also been found to be effective for non-specific perineal-prostatic pain, for which few treatments are available.