Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Results of 100 Units of Botulinum Toxin Administration in Overactive Bladder Treatment
Aşırı Aktif Mesane Tedavisinde 100 Ünite Botulinum Toksini Uygulamasının Sonuçları
Ahmet KARAKEÇİa, Ahmet KELEŞb, Tunç OZANa, İrfan ORHANa, Rahmi ONURc
aDepartment of Urology, Fırat University Faculty of Medicine, Elazığ, TURKEY
bDepartment of Urology, Esenyurt State Hospital, İstanbul, TURKEY
cDepartment of Urology, Marmara University Faculty of Medicine, İstanbul, TURKEY
J Reconstr Urol. 2021;11(1):29-35
doi: 10.5336/urology.2021-81573
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to analyze the efficiency and safety of botulinum toxin in patients who presented to urology clinic with overactive bladder (OAB). Material and Methods: Between 2015 and 2019, forty patients who were administered intravesical 100 units of botulinum toxin for OAB treatment were evaluated retrospectively in terms of efficacy and safety. Efficacy was evaluated by using the treatment benefit scale (TBS) at 3 months after injection The quality of life for OAB symptoms was evaluated via the incontinence quality of life scale before treatment and at the 3rd month after treatment. Likewise, parameters such as incontinence, nocturia, urinary frequency, post-void residual urine values, maximum urine flow rate, number of pads used were evaluated before and at the 3rd month after the procedure. Results: Significant increases were detected in post-procedure incontinence quality of life scores compared to pre-procedure, and in parallel with these results, significant increases were recorded in the post-treatment questionnaire (38.5±15.0 and 69.9±6.3, respectively); p<0.001). In addition, according to the TBS results at the 3rd month, 80% of the patients who underwent the procedure did benefit from the treatment. Conclusion: Botulinum toxin injection still remains to be an effective option in refractory OAB treatment.

Keywords: Urinary incontinence; botulinum toxin; treatment outcome
ÖZET
 Amaç: Bu çalışma, aşırı aktif mesane (AAM) ile üroloji kliniğine başvuran hastalarda botulinum toksininin etkinliğini ve güvenliğini incelemeyi amaçlanmıştır. Gereç ve Yöntemler: 2015- 2019 yılları arasında AAM tedavisi için intravezikal 100 ünite botulinum toksini uygulanan 40 hasta, etkinlik ve güvenlik açısından retrospektif olarak değerlendirildi. Etkinlik, enjeksiyondan 3 ay sonra tedavi fayda ölçeği kullanılarak değerlendirildi. AAM semptomlarının yaşam kalitesine etkisi, tedavi öncesinde ve tedavi sonrası 3. Ayda inkontinans yaşam kalitesi ölçeğiyle değerlendirildi. Aynı şekilde işlem öncesinde ve işlem sonrası 3. ayda inkontinans, noktüri, idrar sıklığı, post-miksiyonel rezidü değerleri, maksimum idrar akım hızı, kullanılan ped sayısı gibi parametreler değerlendirildi. Bulgular: İşlem sonrası inkontinans yaşam kalitesi skorlarında işlem öncesine göre anlamlı bir artış gözlendi ve bu sonuçlarla uyumlu olarak tedavi sonrası ankette anlamlı artış saptandı (sırasıyla 38,5±15,0 ve 69,9±6,3); p<0,001). Ayrıca 3. aydaki sonuçlarına göre işlem uygulanan hastaların %80'i tedaviden fayda gördü. Sonuç: Botulinum toksin enjeksiyonu, dirençli AAM tedavisinde etkili bir seçenek olmaya devam etmektedir.

Anahtar Kelimeler: Üriner inkontinans; botulinum toksini; tedavi sonucu
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