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Results Six months after the treatment, 12/14 (85.7 %) and 8/12(66.6%) patients in EMDA and injection groups respectively became completely dry between two consecutive clean intermittent catheterizations, which maintained in 11/14(78.5%) of patients in EMDA group compared to 6/12 (50%) of patients in injection group, 1 year after the treatment. Conclusion Patients in both groups improved after the treatment; however improvement in EMDA group was more prominent with better sustained effects. BoNTA/EMDA is a feasible, reproducible, cost