Evidence map›Paper›PMID 39877585›Full record

ArticleBJUI compass2025

Long-term follow-up of intradetrusor botulinum toxin utilisation: A comparison of patients with multiple sclerosis and idiopathic overactive bladder.

William Chui, Joshua Kealey, Henry H Yao, Garson Chan, Alvaro Bazo, Richard Parkinson, Helen E O'Connell, Johan Gani

Abstract read
In one paragraph

Article in BJUI compass, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

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

8 authors.

William ChuiDepartment of Urology, Western Health University of Melbourne Melbourne Australia.ORCID https://orcid.org/0000-0002-2471-4126
Joshua KealeyDepartment of Urology, Eastern Health Melbourne Australia.ORCID https://orcid.org/0000-0001-7387-5084
Henry H YaoDepartment of Urology, Western Health University of Melbourne Melbourne Australia.
Garson ChanDepartment of Urology, Western Health University of Melbourne Melbourne Australia.
Alvaro BazoDepartment of Urology Nottingham University Hospitals NHS Trust Nottingham UK.
Richard ParkinsonDepartment of Urology Nottingham University Hospitals NHS Trust Nottingham UK.
Helen E O'ConnellDepartment of Urology, Western Health University of Melbourne Melbourne Australia.ORCID https://orcid.org/0000-0001-8565-1301
Johan GaniDepartment of Urology, Western Health University of Melbourne Melbourne Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To assess long-term outcomes (up to 10 cycles) of repeated intradetrusor botulinum toxin (BoNT) utilisation in multiple sclerosis (MS) and idiopathic overactive bladder (OAB). Materials and Methods: This is a retrospective, international, multi-centre, observational cohort study of patients diagnosed with MS and neurogenic OAB and treated with intradetrusor BoNT between January 2005 and January 2020 (just prior to COVID-19 interruption). Dose, efficacy, duration of effect, International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) and International Consultation on Incontinence Questionnaire Urinary Incontinence (ICIQ-UI) measures and complication rates were recorded. Comparisons were made to those with idiopathic OAB. Results: Seven hundred and ninety-two patients received intradetrusor BoNT treatment (104 had MS with neurogenic OAB and 688 had idiopathic OAB). Patients with MS were more likely to receive higher doses of BoNT in all cycles. Self-reported efficacy ranged from 85.7 to 100% (MS) and 87.2 to 100% (idiopathic) with MS patients reporting increased efficacy in cycles 1-3 comparatively ( Conclusion: Patients with MS and neurogenic OAB have a good therapeutic effect from intradetrusor BoNT that is sustained over at least 10 cycles with significant reduction in the duration of action with subsequent cycles.

Indexed as

bladderdetrusorefficacyincontinencemultiple sclerosisneurogenic

Identifiers

PMID39877585
PMCPMC11771483

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Registered trials

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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.