Pub Date : 2022-05-18eCollection Date: 2022-03-01DOI: 10.1097/j.pbj.0000000000000164
Pedro Abreu-Mendes, Inês Portugal-Rodrigues, Luis Vale, Paulo Dinis, Francisco Cruz, Tiago Antunes-Lopes, Carlos Martins-Silva
Background: Overactive bladder (OAB) is a prevalent syndrome affecting 11% to 16% of the adult population. When first-line pharmacological therapy is not effective, intradetrusorial injections of onabotulinumtoxinA (BTX-A) might have an important role in controlling symptoms. The main aim of this study was to access both the efficacy and safety of intradetrusor injections of 100U BTX-A in real clinical practice, among women with idiopathic OAB (iOAB).
Methods: Retrospective study, based on clinical diaries in 136 iOAB female patients, with or without urinary incontinence, submitted to BTX-A injections, between 2005 and 2018 in a tertiary university hospital. Positive response was considered only when the patient mentioned she had great improvement after the injection, otherwise, it was considered negative.
Results: A positive response was obtained in 90 patients (66%) after the first injection. Women with a positive response after the first treatment had 7.5 times more chances to improve with the second (P= .01). Discontinuation of the therapy after the first injection was neither dependent on the presence of incontinence at baseline (P = .73) nor it was related to age (P = .6). On univariate analyses, none of the parameters evaluated was useful of predicting successful response, although there was a trend in women who had had a previous midurethral sling surgery for stress urinary incontinence, to have a lower chance of having a positive response after the first injection (P = .06).Thirty-nine women (29%) had at least 1 adverse event, urinary tract infection, and straining to void were the most frequent. Women above 65 years old had less risk of developing a urinary tract infection (P = .04).
Conclusion: In real clinical practice, BTX-A injection is an effective (66%) and safe treatment, capable of improving quality of life. Moreover, responding to the first injection seems to predict good clinical outcomes in the second treatment. This procedure can be done with minimal restrictions.
{"title":"Treatment of idiopathic overactive bladder with botulinum toxin: real-life results and patients' expectations.","authors":"Pedro Abreu-Mendes, Inês Portugal-Rodrigues, Luis Vale, Paulo Dinis, Francisco Cruz, Tiago Antunes-Lopes, Carlos Martins-Silva","doi":"10.1097/j.pbj.0000000000000164","DOIUrl":"10.1097/j.pbj.0000000000000164","url":null,"abstract":"<p><strong>Background: </strong>Overactive bladder (OAB) is a prevalent syndrome affecting 11% to 16% of the adult population. When first-line pharmacological therapy is not effective, intradetrusorial injections of onabotulinumtoxinA (BTX-A) might have an important role in controlling symptoms. The main aim of this study was to access both the efficacy and safety of intradetrusor injections of 100U BTX-A in real clinical practice, among women with idiopathic OAB (iOAB).</p><p><strong>Methods: </strong>Retrospective study, based on clinical diaries in 136 iOAB female patients, with or without urinary incontinence, submitted to BTX-A injections, between 2005 and 2018 in a tertiary university hospital. Positive response was considered only when the patient mentioned she had great improvement after the injection, otherwise, it was considered negative.</p><p><strong>Results: </strong>A positive response was obtained in 90 patients (66%) after the first injection. Women with a positive response after the first treatment had 7.5 times more chances to improve with the second (<i>P</i> <i>=</i> .01). Discontinuation of the therapy after the first injection was neither dependent on the presence of incontinence at baseline (<i>P</i> = .73) nor it was related to age (<i>P</i> = .6). On univariate analyses, none of the parameters evaluated was useful of predicting successful response, although there was a trend in women who had had a previous midurethral sling surgery for stress urinary incontinence, to have a lower chance of having a positive response after the first injection (<i>P</i> = .06).Thirty-nine women (29%) had at least 1 adverse event, urinary tract infection, and straining to void were the most frequent. Women above 65 years old had less risk of developing a urinary tract infection (<i>P</i> = .04).</p><p><strong>Conclusion: </strong>In real clinical practice, BTX-A injection is an effective (66%) and safe treatment, capable of improving quality of life. Moreover, responding to the first injection seems to predict good clinical outcomes in the second treatment. This procedure can be done with minimal restrictions.</p>","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"9 1","pages":"e164"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74403173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1007/s11560-022-00577-8
{"title":"Mitteilungen des BDI","authors":"","doi":"10.1007/s11560-022-00577-8","DOIUrl":"https://doi.org/10.1007/s11560-022-00577-8","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"208-210"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44077067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-29DOI: 10.1007/s11560-022-00581-y
L. Pape, Maral Baghai, M. Benz, K. Burgmaier, R. Ehren, D. Haffner, Britta Höcker, K. Hohenfellner, J. König, Martin Konard, M. Kreuzer, Kai Krupka, M. Liebau, Jun Oh, Jenny Prüfe, D. Schnabel, B. Tönshoff, M. Živičnjak, L. Weber
{"title":"Erratum zu: Studientagung der Gesellschaft für Pädiatrische Nephrologie – Grundlage innovativer Forschung","authors":"L. Pape, Maral Baghai, M. Benz, K. Burgmaier, R. Ehren, D. Haffner, Britta Höcker, K. Hohenfellner, J. König, Martin Konard, M. Kreuzer, Kai Krupka, M. Liebau, Jun Oh, Jenny Prüfe, D. Schnabel, B. Tönshoff, M. Živičnjak, L. Weber","doi":"10.1007/s11560-022-00581-y","DOIUrl":"https://doi.org/10.1007/s11560-022-00581-y","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"184 - 184"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44711114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-26DOI: 10.1007/s11560-022-00575-w
Jonas Herting, T. Fischer, C. Maack
{"title":"Herzinsuffizienz","authors":"Jonas Herting, T. Fischer, C. Maack","doi":"10.1007/s11560-022-00575-w","DOIUrl":"https://doi.org/10.1007/s11560-022-00575-w","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"197-207"},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41570850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1007/s11560-022-00570-1
L. Pape, Maral Baghai, M. Benz, K. Burgmaier, R. Ehren, D. Haffner, Britta Höcker, K. Hohenfellner, J. König, Martin Konard, M. Kreuzer, Kai Krupka, M. Liebau, Jun Oh, Jenny Prüfe, D. Schnabel, B. Tönshoff, M. Živičnjak, L. Weber
{"title":"Studientagung der Gesellschaft für Pädiatrische Nephrologie – Grundlage innovativer Forschung","authors":"L. Pape, Maral Baghai, M. Benz, K. Burgmaier, R. Ehren, D. Haffner, Britta Höcker, K. Hohenfellner, J. König, Martin Konard, M. Kreuzer, Kai Krupka, M. Liebau, Jun Oh, Jenny Prüfe, D. Schnabel, B. Tönshoff, M. Živičnjak, L. Weber","doi":"10.1007/s11560-022-00570-1","DOIUrl":"https://doi.org/10.1007/s11560-022-00570-1","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"175 - 183"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43608756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-07DOI: 10.1007/s11560-022-00569-8
Corinna Lobenwein, B. Wilde
{"title":"Avacopan als neue Therapieoption bei der ANCA-assoziierten Vaskulitis","authors":"Corinna Lobenwein, B. Wilde","doi":"10.1007/s11560-022-00569-8","DOIUrl":"https://doi.org/10.1007/s11560-022-00569-8","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"193-196"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43835637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1007/s11560-022-00571-0
T. Feldkamp
{"title":"Natriumausscheidung als Marker für ein erhöhtes kardiovaskuläres Risikoprofil","authors":"T. Feldkamp","doi":"10.1007/s11560-022-00571-0","DOIUrl":"https://doi.org/10.1007/s11560-022-00571-0","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"191 - 192"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45302737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-23DOI: 10.1007/s11560-022-00565-y
J. Gerth, A. Hansch, G. Teichmann, A. Reske, T. Wiech, H. Sigusch
{"title":"Akutes Nierenversagen nach Sectio caesarea von Zwillingen","authors":"J. Gerth, A. Hansch, G. Teichmann, A. Reske, T. Wiech, H. Sigusch","doi":"10.1007/s11560-022-00565-y","DOIUrl":"https://doi.org/10.1007/s11560-022-00565-y","url":null,"abstract":"","PeriodicalId":41844,"journal":{"name":"Nephrologe","volume":"17 1","pages":"185 - 188"},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45964782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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