Evidence map›Paper›PMID 40637802›Full record

ArticlePediatric surgery international2025

Safety of 200iU of intravesical Botox in children of all ages with functional urinary incontinence.

Eliza Szwarcberg, Chris Kimber, Kiarash Taghavi

Abstract read
In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Eliza SzwarcbergDepartment of Paediatric Urology, Monash Children's Hospital, 246 Clayton Rd, Clayton, Melbourne, VIC, 3168, Australia.
Chris KimberDepartment of Paediatric Urology, Monash Children's Hospital, 246 Clayton Rd, Clayton, Melbourne, VIC, 3168, Australia.
Kiarash TaghaviDepartment of Paediatric Urology, Monash Children's Hospital, 246 Clayton Rd, Clayton, Melbourne, VIC, 3168, Australia. kiarash.taghavi@monashhealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntravesical Botox injection can be effective in children with functional urinary incontinence refractory to conservative measures. A wide range of potential doses have been reported with concerns regarding the safety of higher doses. This study aims to determine the safety and side effect profile of 200iU of Botox in children of all ages with functional urinary incontinence.

methodsA retrospective review of 143 children who received 200iU of botulinum toxin A utilising intradetrusor injections was performed. All children had urinary incontinence with no defined neurological abnormality. Post-operative complications were analysed, including UTI, adverse drug reactions, pain, haematuria, urinary retention, transitory increased incontinence and systemic adverse effects.

resultsA total of 228 injection procedures (range: 1-6 procedures) in 143 children (70 girls, 73 boys) were included. Median age at first treatment was 9 years (range: 4-17 years). The mean number of treatment cycles required per patient was 1.59 (range: 1-6). There were no intra-operative complications. Post-operative complications included UTI, post-operative pain and haematuria. No complication required re-admission and no cases of urinary retention requiring catheterisation occurred.

conclusionThis study represents the largest population to date of children with functional urinary incontinence treated with intravesical Botox, confirming this as a well-tolerated, safe intervention in all ages with complications as would be expected for cystoscopy alone.

Indexed as

Botulinum Toxins, Type ANeuromuscular AgentsUrinary IncontinenceAdministration, IntravesicalAdolescentChildChild, PreschoolFemaleHumansMaleRetrospective StudiesTreatment OutcomeBotulinum Toxins, Type ANeuromuscular AgentsBotulinum toxinsPaediatricsType AUrinary incontinence

Identifiers

PMID40637802
PMCPMC12245951

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.