 Batchelinum toxin A, Bow NTA, injection has been used to treat lower urinary tract symptoms, luts, and patients with spinal cord injury, SCI. While it can be effective in reducing urinary incontinence and improving bladder emptying, there are potential side effects associated with its use. Therefore, it is important to consider the risks and benefits before administering Bow NTA to SCI patients. This article was authored by Paching Chen, Kaohan Li, Wei Chia Li, and others.