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Overactive bladder is defined as a syndrome composed of urgency, increased urinary frequency, and sometimes urinary incontinence; its etiology may be characterized as neurogenic or non-neurogenic (i.e., idiopathic). This illness has a great impact in quality of life and one of the available treatments is the injection of Botulinum Toxin. This study aims to review the efficacy and safety of type-A Botulinum Toxin in the management of Idiopathic Overactive Bladder. A systematic search was performed in MEDLINE, EMBASE, CENTRAL and LILACS, and the controlled randomized clinical trials were chosen to review with the CONSORT criteria by independent reviewers. Outcomes analyzed were the efficacy of the intervention for relieving the symptoms (urgency, frequency and urgency incontinence), adverse events to treatment, change in quality of life and urodynamic measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group |
| ||
| Control Group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intradetrusor Injection of Type-A Botulinum Toxin | Drug |
| ||
| Other interventions analyzed according to protocol |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of the intervention for relieving the symptoms (urgency, frequency and urgency incontinence) | Minimun follow-up period of 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events to treatment (urinary retention and urinary tract infections) | Minimun follow-up period of 12 weeks | |
| Change in quality of life | Minimun follow-up period of 12 weeks | |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients diagnosed with idiopathic overactive bladder
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| Name | Affiliation | Role |
|---|---|---|
| Hugo E López, MD | Clínica Infantil Colsubsidio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clínica Infantil Colsubsidio | Bogotá DC | Bogotá DC | Colombia |
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| ID | Term |
|---|---|
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Other |
|
|
| Change in urodynamic measures |
Increase in maximum cystometric capacity, first desire to void, normal desire to void, postvoid residual volume, and the presence/abscence of detrusor overactivity. |
| Minimun follow-up period of 12 weeks |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |