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[Pittsburgh experience with botulinum toxin A injection].

F de Miguel1, M B Chancellor

  • 1Departamento de Urología, Universidad de Pittsburgh, PA 15213, USA. demifx@upmc.edu

Actas Urologicas Espanolas
|June 6, 2006
PubMed
Summary

Botulinum toxin A injections effectively treat various lower urinary tract dysfunctions in 110 patients, reducing incontinence and voiding symptoms for at least six months with no long-term complications.

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Area of Science:

  • Urology
  • Neurology
  • Pharmacology

Context:

  • Lower urinary tract dysfunction affects millions globally.
  • Existing treatments for conditions like overactive bladder and neurogenic detrusor overactivity have limitations.
  • Botulinum toxin A (BONT-A) offers a novel therapeutic approach targeting smooth and skeletal muscle dysfunction.

Purpose:

  • To evaluate the six-year experience of using botulinum toxin A (BONT-A) in the bladder and urethra for treating diverse lower urinary tract dysfunctions.
  • To assess the efficacy, safety, and duration of BONT-A treatment in a cohort of 110 patients.
  • To analyze patient-reported outcomes and urodynamic changes following BONT-A injections.

Summary:

  • 110 patients (19-82 years) received BONT-A injections into the bladder (n=42) or urethra (n=68) for conditions including neurogenic detrusor overactivity, overactive bladder, benign prostatic hyperplasia, and interstitial cystitis.

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  • 67.3% of patients reported a significant decrease or complete resolution of incontinence.
  • Improvements in daytime and nighttime voiding symptoms and quality of life scores were observed within 7 days, lasting over 6 months.
  • Impact:

    • BONT-A injections demonstrate a favorable safety profile with no reported long-term complications.
    • The treatment is effective in both men and women, offering a promising alternative for refractory lower urinary tract symptoms.
    • BONT-A provides a safe and effective option for managing detrusor overactivity and other voiding dysfunctions, potentially improving patient quality of life.