Efficacy and safety of propiverine in children with overactive bladder

Woo Jung Kim1, Dong-Gi Lee, Sang Wook Lee

  • 1Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Insights

Propiverine effectively treats overactive bladder (OAB) in children, improving bladder capacity and reducing voiding frequency. This antimuscarinic medication is safe and well-tolerated for pediatric OAB patients, with or without incontinence.

Area of Science:

  • Pediatric Urology
  • Pharmacology
  • Clinical Medicine

Background:

  • Antimuscarinic therapy is a common treatment for pediatric overactive bladder (OAB).
  • Limited clinical data exists on the outcomes of antimuscarinic use in children with OAB.
  • Propiverine is frequently prescribed for pediatric OAB.

Purpose of the Study:

  • To evaluate the efficacy and safety of propiverine in treating pediatric overactive bladder (OAB).
  • To compare treatment outcomes in children with and without urge incontinence (UI).

Main Methods:

  • Retrospective review of 68 children with OAB treated with propiverine over 5 years.
  • Comparison of response rates between non-urge incontinence (non-UI) and urge incontinence (UI) groups.
  • Analysis of cumulative response rates by treatment duration.

Main Results:

  • Overall response rate was 86.8%.
  • Functional bladder capacity increased from 140 ml to 150 ml; daily voiding frequency decreased from 14.0 to 8.5.
  • No significant difference in response rates between non-UI (88.0%) and UI (83.3%) groups. Adverse effects were minimal (2.9%) and not severe.

Conclusions:

  • Propiverine demonstrates efficacy in treating pediatric OAB, regardless of the presence of UI.
  • The medication is well-tolerated in the pediatric population.
  • Propiverine offers a safe and effective treatment option for children with OAB.
Abstract

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