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Prof. Ehab Mohamed Ali El-barky :: Publications:

Title:
Efficacy of botulinum toxin type A 100 Units versus 200 units for treatment of refractory idiopathic overactive bladder _______________________________________________
Authors: Osama Abdelwahab 1, Hammouda Sherif 1, Tark Soliman 1, Ihab Elbarky 1, Aly Eshazly
Year: 2015
Keywords: Botulinum Toxins; Therapeutics; Urinary Bladder, Overactive
Journal: Int Braz J Urol
Volume: 41
Issue: 6
Pages: 1132-1140
Publisher:  SciELO    The Scientific Electronic Library Online
Local/International: International
Paper Link:
Full paper Ehab Mohamed Ali El-barky_Iintravesical instillation of bacillus calmette guerin versus intravesical instillation of hyaluronic acid in the treatment of interstitial cystitis.pdf
Supplementary materials Not Available
Abstract:

Objective: To evaluate the efficacy and safety of a single intra detrusor injection of BoNTA comparing two different doses (100 U or 200 U) in patients with idiopathic overactive bladder. Materials and Methods: A randomized prospective study evaluated the efficacy of BoNTA in management of refractory idiopathic overactive bladder and included 80 patients. All patients were assessed initially by taking a history, a physical examination, overactive bladder symptom score, urine analysis, routine laboratory investigations, KUB and pelviabdominal. OABSS was adjusted on all patients postoperative at 1,3,6,9 months also Urodynamic was done for all patients preoperative and postoperative at 3, 6, 9 months. Results: The mean age was 30.22±8.37 and 31.35±7.61 in group I and II respectively. There was no statistically difference between both groups in all parameters all over the study except at 9 months after treatment. Hematuria was observed 6 and 9 patients in group I and II respectively. Dysuria was observed in 6 and 15 patients in group I and II respectively. UTI was detected in 3 and 7 patients in group I and II respectively. Conclusion: A single-injection procedure of 100 U or 200 U BoNTA is an effective and safe treatment for patients with IOAB who failed anticholinergic regimens. OABSS and QoL were improved for 6 months; 100 U injections seemed to have comparable results with 200 U. There was a significant difference at month 9 towards 200 U with more incidences of adverse events.

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