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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.
Purpose:
Antimuscarinic therapy remains one of the most common forms of therapy for overactive bladder (OAB) in children. However, few clinical studies on the outcomes of antimuscarinics in children with OAB have been published. Therefore, we evaluated the efficacy and safety of propiverine, which is frequently prescribed for the treatment of pediatric OAB.
Materials And Methods:
We retrospectively reviewed children with OAB treated with propiverine within the past 5 years. The response rates were compared between the non-urge incontinence (non-UI) and urge incontinence (UI groups). The cumulative response rate by treatment duration was also compared between the two groups.
Results:
Among a total of 68 children, 50 children (73.5%) experienced UI. The overall response rate was 86.8%. Functional bladder capacity after treatment was 150 ml, which represented an increase compared with the value (140 ml) before treatment. The voiding frequency per day decreased from 14.0 to 8.5 times. The overall response rate (88.0%) in the non-UI group was not significantly different from that seen in the UI group (83.3%; p>0.05). In non-UI children, the cumulative response rates were 36.0%, 54.0%, 68.0%, 74.0%, 76.0%, and 78.0% at 4, 8, 12, 16, 20, and 24 weeks, respectively. The cumulative response rates in the UI children were 11.1%, 33.3%, 44.4%, 50.0%, 50.0%, and 55.6%, respectively during the same respective time periods. Adverse effects were identified in only two (2.9%) patients, and neither case was severe.
Conclusions:
Propiverine is effective and well tolerated as a treatment for children suffering from OAB with or without UI.
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