Clinical Efficacy of Transurethral Resection of the Prostate Combined with Oral Anticholinergics or Botulinum Toxin – A Injection to Treat Benign Prostatic Hyperplasia with Overactive Bladder: A Case–Control Study
| Autor: | Farzad Allameh, Saleh Ghiasy, Mohammadreza Razzaghi, Morteza Fallah-Karkan, Seyyed Mohammad Hosseininia, Amir Reza Abedi, Abbas Basiri, Saeed Montazeri |
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| Rok vydání: | 2020 |
| Předmět: |
botulinum toxin-A
medicine.medical_specialty medicine.medical_treatment Urology urologic and male genital diseases Botulinum toxin a over active bladder medicine Nocturia Pharmacology (medical) Original Research Transurethral resection of the prostate benign prostatic hyperplasia solifenacin Solifenacin business.industry Case-control study Hyperplasia medicine.disease TURP Overactive bladder International Prostate Symptom Score anticholinergic drug medicine.symptom business medicine.drug |
| Zdroj: | Clinical Pharmacology : Advances and Applications |
| ISSN: | 1179-1438 |
| DOI: | 10.2147/cpaa.s256051 |
| Popis: | Introduction Recent investigations showed that anticholinergic drugs could use for the management of storage symptoms after transurethral resection of the prostate (TURP). The use of intravesical botulinum toxin-A (BTX-A) for the management of overactive bladder is rapidly increasing. In this research, we assess the efficacy of BTX-A vs solifenacin in men suffering from bladder outlet obstruction-over active bladder (BOO-OAB) managed with TURP. Methods In this case-control study, 50 men with BOO-OAB randomized into two groups. The control group (A) underwent TURP and subsequently managed by solifenacin 5 mg daily, and the case group (B) underwent TURP and BTX-A injection in the bladder wall in the same session. Treatment success was the primary outcome and defined as post-injection improvement in the storage score of the International Prostate Symptom Score (IPSS) from baseline. Results The IPSS, post-void residual volume, frequency, incomplete emptying, nocturia and urgency subscores considerably ameliorated after 12 weeks and 36 weeks for both groups, but it was more significant in the case arm. The quality of life (QoL) scores significantly improved after the treatments in both groups. Intervention group showed significant reductions regarding urgency incontinence compared with the solifenacin group at 12th and 36th weeks. Conclusion BTX-A is an effective and well-tolerated treatment in patients with benign prostatic hyperplasia (BPH) who are candidates of TURP and simultaneously suffer from OAB symptoms. |
| Databáze: | OpenAIRE |
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