Evidence map›Paper›PMID 38688605›Full record

ArticleIn vivo (Athens, Greece)

Intravesical Injection of OnabotulinumtoxinA (Botulinum Toxin Type A) in Japanese Patients With Refractory Overactive Bladder.

Daisuke Gotoh, Kazumasa Torimoto, Norimi Takamatsu, Kenta Onishi, Yosuke Morizawa, Shunta Hori, Yasushi Nakai, Makito Miyake, Kiyohide Fujimoto

Abstract read
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Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daisuke GotohDepartment of Urology, Nara Medical University, Kashihara, Japan.
Kazumasa TorimotoDepartment of Urology, Nara Medical University, Kashihara, Japan torimoto@naramed-u.ac.jp.
Norimi TakamatsuDepartment of Urology, Nara Medical University, Kashihara, Japan.
Kenta OnishiDepartment of Urology, Nara Medical University, Kashihara, Japan.
Yosuke MorizawaDepartment of Urology, Nara Medical University, Kashihara, Japan.
Shunta HoriDepartment of Urology, Nara Medical University, Kashihara, Japan.
Yasushi NakaiDepartment of Urology, Nara Medical University, Kashihara, Japan.
Makito MiyakeDepartment of Urology, Nara Medical University, Kashihara, Japan.
Kiyohide FujimotoDepartment of Urology, Nara Medical University, Kashihara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimBotulinum toxin intravesical injection therapy (hereafter, botulinum therapy) is approved in Japan for treating urinary urgency, frequency, and urinary incontinence due to refractory overactive bladder or neurogenic bladder. Although botulinum therapy is classified as urinary incontinence surgery, it is minimally invasive, effective, and safe. However, there are few reports on the actual use of botulinum therapy and examination of its effects and side-effects. Herein, we report real-world data on botulinum therapy. PATIENTS AND

methodsPatients who received botulinum therapy for refractory overactive bladder at the Nara Medical University and affiliated facilities from May 2020 to May 2022 were enrolled. The patient background, treatment efficacy, and safety were retrospectively reviewed.

resultsTwenty-three cases of refractory overactive bladder (age: 68.4±14.1 years; 7 males, 16 females; 17 outpatient, 6 hospitalized) were enrolled. Pretreatment, the overactive bladder symptom score (OABSS) was 10.1±2.7, and post-void residual urine volume was 27.1±31.6 ml. Botulinum was administered once, twice, thrice, and four times in 11, eight, three, and one cases, respectively. OABSS decreased to 6.1±3.2 2 weeks after botulinum therapy (p<0.0001), and the effect persisted at 6.6±3.2 after 12 weeks (p<0.0001). Post-void residual urine volume increased to 74.6±79.2 ml after 2 weeks (p=0.0010), but subsequently improved to 33.9±42.0 ml after 12 weeks (p=0.0002). Adverse events included post-void residual urine volume of 200 ml or more in three patients (7.5%) and urinary retention grade 2 in two (5.0%).

conclusionBotulinum therapy is effective and relatively safe for refractory overactive bladders.

Indexed as

Botulinum Toxins, Type AUrinary Bladder, OveractiveAdministration, IntravesicalAgedAged, 80 and overEast Asian PeopleFemaleHumansJapanMaleMiddle AgedRetrospective StudiesTreatment OutcomeBotulinum Toxins, Type Aonabotulinum toxin ABotulinum toxin type Aintravesical injectionrefractory overactive bladderurinary incontinence

Identifiers

PMID38688605
PMCPMC11059887

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.