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[Tolterodine for bladder spasm caused by the indwelling catheter after prostate operation]
Qi Chen1, Wei Xue, Yuantian Wang
1Department of Urology, Affiliated Renji Hospital, Shanghai Second Medical University, Shanghai 200127, China. totorocky@sina.com
Objective:
To evaluate the efficacy of tolterodine on bladder spasm caused by the indwelling catheter after prostate operation.
Methods:
Eighty-two patients with bladder spasm caused by the indwelling catheter after prostate operation received tolterodine (2 mg twice daily), until 24 hours before the removal of the catheter.
Results:
After 24 hours of treatment, bladder spasm was alleviated totally in 21 patients (25.6%), partially in 45 (54.9%), and unrelieved in 16 (19.5%). After 72 hours of treatment, bladder spasm was alleviated totally in 45 patients (54.9%), partially in 30 (36.6%), and unrelieved in 7 (8.5%). No severe adverse events occurred during the treatment.
Conclusion:
The tolterodine therapy for patients with bladder spasm caused by the indwelling catheter after prostate operations is rapid, effective, persistent and safe.