Transvaginal ultrasound guided trigone and bladder injection: A cadaveric feasibility study for a novel route of intradetrusor chemodenervation.

Purpose: OnabotulinumtoxinA (BTX) detrusor chemodenervation is an efficacious third-line treatment for overactive bladder. Despite high clinical efficacy rates for BTX injection, many patients refuse initial or repeat treatment due to the invasiveness of the cystoscopic route of delivery. We assess the feasibility of injecting the trigone and posterior bladder wall via a transvaginal route under ultrasound guidance using a human cadaveric model.

Educational Case: Symptomatic but Unruptured Abdominal Aortic Aneurysm.

http://journals.sagepub.com/doi/10.

Trends in Geriatrics Graduate Medical Education Programs and Positions, 2001 to 2018.

It is no secret that the average age of the U.S. population is increasing, and this has special significance for the U.