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| Name | Class |
|---|---|
| South-Eastern Norway Regional Health Authority | OTHER |
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Instillation treatment with onabotulinumtoxin A (BOTOX®) in the urinary bladder
Pilot study to evaluate the effect of instillation treatment with onabotulinumtoxin A (BOTOX®) in the urinary bladder using Electromotive Drug Application (EMDA) in women with overactive bladder.
15 women with therapy-resistant OAB will be included. All patients must be qualified for conventional cystoscopic Botox injection. The study is not randomized or blinded. Follow-up time is six months with voiding charts and three questionnaires (Urinary Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire-7 (IIQ-7), International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) as well as a satisfaction with treatment Visual analog scale (VAS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment with Botox | Experimental | Onabotulinum toxin A. 200 units of Botox installed into the bladder by catheter. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| onabotulinum toxin A | Drug | Onabotulinum toxin A is installed into the bladder and EMDA (Electromotive Drug Application) is applied for 30 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in number of leakage episodes | Measured with a 24-hour voiding chart | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Change in grams leakage | Measured with a 24-hour voiding chart | 24 hours |
| Change in number of voids | Measured with a 24-hour voiding chart |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hjalmar A Schiotz, MD, PhD | Vestfold Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept of Ob/Gyn, The Hospital of Vestfold | Tønsberg | N-3103 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22161392 | Background | Duthie JB, Vincent M, Herbison GP, Wilson DI, Wilson D. Botulinum toxin injections for adults with overactive bladder syndrome. Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD005493. doi: 10.1002/14651858.CD005493.pub3. | |
| 20800886 | Background | Kajbafzadeh AM, Ahmadi H, Montaser-Kouhsari L, Sharifi-Rad L, Nejat F, Bazargan-Hejazi S. Intravesical electromotive botulinum toxin type A administration--part II: Clinical application. Urology. 2011 Feb;77(2):439-45. doi: 10.1016/j.urology.2010.06.003. Epub 2010 Aug 30. |
| Label | URL |
|---|---|
| Final article | View source |
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| ID | Term |
|---|---|
| D053201 | Urinary Bladder, Overactive |
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| C000629279 | onabotulinum toxin A |
| D019274 | Botulinum Toxins, Type A |
| ID | Term |
|---|---|
| D001905 | Botulinum Toxins |
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
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|
| 24 hours |
| Change in mean voided volume | Measured with a 24-hour voiding chart | 24 hours |
| Change in Urinary Distress Inventory-6 score (UDI-6) | Questionnaire | 6 months |
| Change in Incontinence Impact Questionnaire-7 score (IIQ-7) | Questionnaire | 6 months |
| Change in International Consultation on Incontinence Questionnaire-Short Form score (ICIQ-SF) | Questionnaire | 6 months |
| Change in flow rate | Measured by flowmetry | 4 weeks |
| Result | Schiøtz HA, Mai HT, Zabielska R. Intravesical Electromotive Botulinum Toxin in Women with Overactive Bladder - a pilot study. AJGO 2017; 2: 4-10. https://www.arcjournals.org/pdfs/ajgo/v2-i2/2.pdf |
| 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 |
| D014555 | Urination Disorders |
| D006867 |
| Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |
| D001426 | Bacterial Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |