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The changes in bladder function after the injection of Onabotulinum toxin into the detrusor in individuals with neurogenic bladder overactivity will be investigated retrospectively. The records of all patients treated with Onabotulinum toxin injections into the detrusor since 2000 will be evaluated. The changes in the urodynamic values after the injection of 300 units of Onabotulinum toxin will be compared with the changes after the injection of 200 units. Furthermore, the differences in urinary continence, duration between injections, side effects and complications between the two groups will be investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Onabotulinum 300 units |
| ||
| Onabotulinum 200 units |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Injection of Onabotulinum toxin | Drug | multiple injections of Onabotulinum toxin into the detrusor muscle |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in detrusor pressure post-injection | bladder detrusor pressure during storage phase | within 3 months before injection; within 2 months after injection |
| Measure | Description | Time Frame |
|---|---|---|
| maximum bladder volume | within 3 months before injection; within 2 months after injection | |
| bladder compliance | The relationship between a change in bladder volume and the change in detrusor pressure (ΔDV/ΔDP). |
| Measure | Description | Time Frame |
|---|---|---|
| lesion level | at the time of spinal cord injury | |
| lesion severity | at the time of spinal cord injury | |
| method of bladder evacuation |
Inclusion Criteria:
Exclusion Criteria:
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patients treated with Onabotulinum toxin for neurogenic detrusor overactivity as a result of spinal cord injury
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Swiss Paraplegic Centre | Nottwil | Canton of Lucerne | 6207 | Switzerland |
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| ID | Term |
|---|---|
| D001750 | Urinary Bladder, Neurogenic |
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
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| within 3 months before injection; within 2 months after injection |
| reflexive bladder volume | within 3 months before injection; within 2 months after injection |
| complications | within 2 months after injection |
| presence of urinary incontinence | within 3 months before injection; within 2 months after injection |
evacuation by intermittent catheterization, reflex voiding, suprapubic catheter , electric stimulation |
| within 2 months after injection |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |