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Erschienen in: International Urology and Nephrology 1/2014

01.09.2014 | Urology - Original Paper

Advanced therapeutic directions to treat the underactive bladder

verfasst von: Phillip P. Smith, Pradeep Tyagi, George A. Kuchel, Subrata Pore, Christopher Chermansky, Michael Chancellor, Naoki Yoshimura, Peter Levanovich

Erschienen in: International Urology and Nephrology | Sonderheft 1/2014

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Abstract

Muscarinic agonists are the most commonly used agents for treating the underactive bladder (UAB). However, because of the absence of pharmacologic specificity for bladder-only effects and possibly as a result of degenerative and other post-synaptic changes involving detrusor smooth muscle cells, they are simply not effective and side effects are common. If safe and effective therapy for UAB is made available, then most experts agree that the potential market would exceed industry expectations, just as antimuscarinic agents for overactive bladder did in the late 1990s. The pharmaceutical and biotechnology industries that have a pipeline to urology and women’s health should consider UAB as a potential target condition. A rational approach to treating the pathology of UAB is presented with a discussion of potential targets that may allow the development of safe and effective agents for the treatment of UAB.
Literatur
1.
Zurück zum Zitat Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ (2013) Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis. Eur Urol 65(2):389–398. doi:10.1016/j.eururo.2013.10.015 PubMedCrossRef Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ (2013) Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis. Eur Urol 65(2):389–398. doi:10.​1016/​j.​eururo.​2013.​10.​015 PubMedCrossRef
2.
Zurück zum Zitat Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A, Standardisation Sub-committee of the International Continence S (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):167–178PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A, Standardisation Sub-committee of the International Continence S (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):167–178PubMedCrossRef
7.
8.
Zurück zum Zitat Griffiths D, Tadic SD, Schaefer W, Resnick NM (2007) Cerebral control of the bladder in normal and urge-incontinent women. Neuroimage 37(1):1–7PubMedCrossRefPubMedCentral Griffiths D, Tadic SD, Schaefer W, Resnick NM (2007) Cerebral control of the bladder in normal and urge-incontinent women. Neuroimage 37(1):1–7PubMedCrossRefPubMedCentral
9.
Zurück zum Zitat Lee SR, Kim HJ, Kim A, Kim JH Overactive bladder is not only overactive but also hypersensitive. 1527-9995 (Electronic) 0090-4295 (Linking) Lee SR, Kim HJ, Kim A, Kim JH Overactive bladder is not only overactive but also hypersensitive. 1527-9995 (Electronic) 0090-4295 (Linking)
10.
Zurück zum Zitat De Wachter S, Smith PP, Tannenbaum C, Van Koeveringe G, Drake M, Wyndaele JJ, Chapple C (2012) How should bladder sensation be measured? ICI-RS 2011. Neurourol Urodyn 31(3):370–374. doi:10.1002/nau.22214 PubMedCrossRef De Wachter S, Smith PP, Tannenbaum C, Van Koeveringe G, Drake M, Wyndaele JJ, Chapple C (2012) How should bladder sensation be measured? ICI-RS 2011. Neurourol Urodyn 31(3):370–374. doi:10.​1002/​nau.​22214 PubMedCrossRef
11.
Zurück zum Zitat Heeringa R, de Wachter SG, van Kerrebroeck PE, van Koeveringe GA (2011) Normal bladder sensations in healthy volunteers: a focus group investigation. Neurourol Urodyn. doi:10.1002/nau.21052 Heeringa R, de Wachter SG, van Kerrebroeck PE, van Koeveringe GA (2011) Normal bladder sensations in healthy volunteers: a focus group investigation. Neurourol Urodyn. doi:10.​1002/​nau.​21052
12.
Zurück zum Zitat Griffiths DJ (1980) Urodynamics. The mechanics and hydrodynamics of the lower urinary tract. Adam Hilger Ltd, Bristol Griffiths DJ (1980) Urodynamics. The mechanics and hydrodynamics of the lower urinary tract. Adam Hilger Ltd, Bristol
13.
Zurück zum Zitat Bougas DA, Mitsogiannis IC, Mitropoulos DN, Kollaitis GC, Serafetinides EN, Giannopoulos AM (2004) Clinical efficacy of distigmine bromide in the treatment of patients with underactive detrusor. Int Urol Nephrol 36(4):507–512PubMedCrossRef Bougas DA, Mitsogiannis IC, Mitropoulos DN, Kollaitis GC, Serafetinides EN, Giannopoulos AM (2004) Clinical efficacy of distigmine bromide in the treatment of patients with underactive detrusor. Int Urol Nephrol 36(4):507–512PubMedCrossRef
14.
Zurück zum Zitat Resnick NM, Yalla SV (1987) Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA 257(22):3076–3081PubMedCrossRef Resnick NM, Yalla SV (1987) Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA 257(22):3076–3081PubMedCrossRef
17.
Zurück zum Zitat Wagg A, Gibson W, Johnson T 3rd, Markland A, Palmer MH, Kuchel G, Szonyi G, Kirschner-Hermanns R (2014) Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol Urodyn. doi:10.1002/nau.22602 PubMedCentral Wagg A, Gibson W, Johnson T 3rd, Markland A, Palmer MH, Kuchel G, Szonyi G, Kirschner-Hermanns R (2014) Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol Urodyn. doi:10.​1002/​nau.​22602 PubMedCentral
20.
Zurück zum Zitat Dubeau CE, Kraus SR, Griebling TL, Newman DK, Wyman JF, Johnson TM 2nd, Ouslander JG, Sun F, Gong J, Bavendam T (2014) Effect of fesoterodine in vulnerable elderly subjects with urgency incontinence: a double-blind, placebo controlled trial. J Urol 191(2):395–404. doi:10.1016/j.juro.2013.08.027 PubMedCrossRef Dubeau CE, Kraus SR, Griebling TL, Newman DK, Wyman JF, Johnson TM 2nd, Ouslander JG, Sun F, Gong J, Bavendam T (2014) Effect of fesoterodine in vulnerable elderly subjects with urgency incontinence: a double-blind, placebo controlled trial. J Urol 191(2):395–404. doi:10.​1016/​j.​juro.​2013.​08.​027 PubMedCrossRef
21.
Zurück zum Zitat Choi RC, Siow NL, Cheng AW, Ling KK, Tung EK, Simon J, Barnard EA, Tsim KW (2003) ATP acts via P2Y1 receptors to stimulate acetylcholinesterase and acetylcholine receptor expression: transduction and transcription control. J Neurosci 23(11):4445–4456PubMed Choi RC, Siow NL, Cheng AW, Ling KK, Tung EK, Simon J, Barnard EA, Tsim KW (2003) ATP acts via P2Y1 receptors to stimulate acetylcholinesterase and acetylcholine receptor expression: transduction and transcription control. J Neurosci 23(11):4445–4456PubMed
22.
Zurück zum Zitat Yoshida M, Miyamae K, Iwashita H, Otani M, Inadome A (2004) Management of detrusor dysfunction in the elderly: changes in acetylcholine and adenosine triphosphate release during aging. Urology 63(3 Suppl 1):17–23PubMedCrossRef Yoshida M, Miyamae K, Iwashita H, Otani M, Inadome A (2004) Management of detrusor dysfunction in the elderly: changes in acetylcholine and adenosine triphosphate release during aging. Urology 63(3 Suppl 1):17–23PubMedCrossRef
25.
Zurück zum Zitat Desmond AD, Bultitude MI, Hills NH, Shuttleworth KE (1980) Clinical experience with intravesical prostaglandin E2. A prospective study of 36 patients. Br J Urol 52(5):357–366PubMedCrossRef Desmond AD, Bultitude MI, Hills NH, Shuttleworth KE (1980) Clinical experience with intravesical prostaglandin E2. A prospective study of 36 patients. Br J Urol 52(5):357–366PubMedCrossRef
28.
Zurück zum Zitat Hindley RG, Brierly RD, Thomas PJ (2004) Prostaglandin E2 and bethanechol in combination for treating detrusor underactivity. BJU Int 93(1):89–92PubMedCrossRef Hindley RG, Brierly RD, Thomas PJ (2004) Prostaglandin E2 and bethanechol in combination for treating detrusor underactivity. BJU Int 93(1):89–92PubMedCrossRef
30.
Zurück zum Zitat Moody BJ, Liberman C, Zvara P, Smith PP, Freeman K, Zvarova K (2013) Acute lower urinary tract dysfunction (LUTD) following traumatic brain injury (TBI) in rats. Neurourol Urodyn. doi:10.1002/nau.22470 PubMed Moody BJ, Liberman C, Zvara P, Smith PP, Freeman K, Zvarova K (2013) Acute lower urinary tract dysfunction (LUTD) following traumatic brain injury (TBI) in rats. Neurourol Urodyn. doi:10.​1002/​nau.​22470 PubMed
31.
Zurück zum Zitat Pfisterer MH, Griffiths DJ, Schaefer W, Resnick NM (2006) The effect of age on lower urinary tract function: a study in women. J Am Geriatr Soc 54(3):405–412PubMedCrossRef Pfisterer MH, Griffiths DJ, Schaefer W, Resnick NM (2006) The effect of age on lower urinary tract function: a study in women. J Am Geriatr Soc 54(3):405–412PubMedCrossRef
32.
Zurück zum Zitat Sasaki K, Chancellor MB, Goins WF, Phelan MW, Glorioso JC, de Groat WC, Yoshimura N (2004) Gene therapy using replication-defective herpes simplex virus vectors expressing nerve growth factor in a rat model of diabetic cystopathy. Diabetes 53(10):2723–2730PubMedCrossRef Sasaki K, Chancellor MB, Goins WF, Phelan MW, Glorioso JC, de Groat WC, Yoshimura N (2004) Gene therapy using replication-defective herpes simplex virus vectors expressing nerve growth factor in a rat model of diabetic cystopathy. Diabetes 53(10):2723–2730PubMedCrossRef
33.
Zurück zum Zitat de Groat WC, Araki I, Vizzard MA, Yoshiyama M, Yoshimura N, Sugaya K, Tai C, Roppolo JR (1998) Developmental and injury induced plasticity in the micturition reflex pathway. Behav Brain Res 92(2):127–140PubMedCrossRef de Groat WC, Araki I, Vizzard MA, Yoshiyama M, Yoshimura N, Sugaya K, Tai C, Roppolo JR (1998) Developmental and injury induced plasticity in the micturition reflex pathway. Behav Brain Res 92(2):127–140PubMedCrossRef
34.
35.
Zurück zum Zitat Uchiyama T, Sakakibara R, Yoshiyama M, Yamamoto T, Ito T, Liu Z, Yamaguchi C, Awa Y, Yano HM, Yanagisawa M, Yamanishi T, Hattori T, Kuwabara S (2009) Biphasic effect of apomorphine, an anti-parkinsonian drug, on bladder function in rats. Neuroscience 162(4):1333–1338. doi:10.1016/j.neuroscience.2009.06.001 PubMedCrossRef Uchiyama T, Sakakibara R, Yoshiyama M, Yamamoto T, Ito T, Liu Z, Yamaguchi C, Awa Y, Yano HM, Yanagisawa M, Yamanishi T, Hattori T, Kuwabara S (2009) Biphasic effect of apomorphine, an anti-parkinsonian drug, on bladder function in rats. Neuroscience 162(4):1333–1338. doi:10.​1016/​j.​neuroscience.​2009.​06.​001 PubMedCrossRef
37.
Zurück zum Zitat Takahisa N, Yoshida S, Hakozaki A, Orimoto N, Sasaki E, Hayashi Y (2013) Therapeutic effect of Tac-302, a novel neurite outgrowth enhancer, on voiding dysfunction in rats with STZ-induced diabetes. J Urol 189(4):e49 Takahisa N, Yoshida S, Hakozaki A, Orimoto N, Sasaki E, Hayashi Y (2013) Therapeutic effect of Tac-302, a novel neurite outgrowth enhancer, on voiding dysfunction in rats with STZ-induced diabetes. J Urol 189(4):e49
38.
Zurück zum Zitat Yoshizawaa T, Hayashi Y, Yoshida A, Ito Y, Yamada S, Takahashia S (2012) Therapeutic effects of the cyclohexenone derivative tac-302 on the bladder dysfunction in streptozotocin (Stz)-induced diabetic rats. J Urol 187(4):e43CrossRef Yoshizawaa T, Hayashi Y, Yoshida A, Ito Y, Yamada S, Takahashia S (2012) Therapeutic effects of the cyclohexenone derivative tac-302 on the bladder dysfunction in streptozotocin (Stz)-induced diabetic rats. J Urol 187(4):e43CrossRef
39.
Zurück zum Zitat Kavia R, DasGupta R, Hugo C, Hugo, Clare F, Clare, Derek G, Derek (2009) A functional magnetic resonance imaging study of the effect of sacral neuromodulation on brain responses in women with Fowler’s syndrome. BJU Int 9999 (9999) Kavia R, DasGupta R, Hugo C, Hugo, Clare F, Clare, Derek G, Derek (2009) A functional magnetic resonance imaging study of the effect of sacral neuromodulation on brain responses in women with Fowler’s syndrome. BJU Int 9999 (9999)
42.
Zurück zum Zitat Birkeland JA, Sejersted OM, Taraldsen T, Sjaastad I (2005) EC-coupling in normal and failing hearts. Scand Cardiovascular J 39(1–2):13–23CrossRef Birkeland JA, Sejersted OM, Taraldsen T, Sjaastad I (2005) EC-coupling in normal and failing hearts. Scand Cardiovascular J 39(1–2):13–23CrossRef
43.
Zurück zum Zitat Ishida Y, Paul RJ (2005) Ca2+ clearance in smooth muscle: lessons from gene-altered mice. J Smooth Muscle Res=Nihon Heikatsukin Gakkai kikanshi 41(5):235–245CrossRef Ishida Y, Paul RJ (2005) Ca2+ clearance in smooth muscle: lessons from gene-altered mice. J Smooth Muscle Res=Nihon Heikatsukin Gakkai kikanshi 41(5):235–245CrossRef
44.
Zurück zum Zitat Levin RM, Haugaard N, O’Connor L, Buttyan R, Das A, Dixon JS, Gosling JA (2000) Obstructive response of human bladder to BPH vs. rabbit bladder response to partial outlet obstruction: a direct comparison. Neurourol Urodyn 19(5):609–629PubMedCrossRef Levin RM, Haugaard N, O’Connor L, Buttyan R, Das A, Dixon JS, Gosling JA (2000) Obstructive response of human bladder to BPH vs. rabbit bladder response to partial outlet obstruction: a direct comparison. Neurourol Urodyn 19(5):609–629PubMedCrossRef
46.
Zurück zum Zitat Stein R, Gong C, Hutcheson JC, Canning DA, Zderic SA (2000) The decompensated detrusor III: impact of bladder outlet obstruction on sarcoplasmic endoplasmic reticulum protein and gene expression. J Urol 164((3 Pt 2)):1026–1030PubMedCrossRef Stein R, Gong C, Hutcheson JC, Canning DA, Zderic SA (2000) The decompensated detrusor III: impact of bladder outlet obstruction on sarcoplasmic endoplasmic reticulum protein and gene expression. J Urol 164((3 Pt 2)):1026–1030PubMedCrossRef
47.
Zurück zum Zitat Agartan CA, Leggett RE, Kogan BA, Levin RM (2007) Effect of age on the response to in vitro ischemia and reperfusion of the rabbit bladder. Urol Int 75:155–159CrossRef Agartan CA, Leggett RE, Kogan BA, Levin RM (2007) Effect of age on the response to in vitro ischemia and reperfusion of the rabbit bladder. Urol Int 75:155–159CrossRef
49.
Zurück zum Zitat Kim DK, Yoshimura N, Tyagi P, Chancellor MB (2009) Role of sacro/endoplasmic reticulum calcium ATPase in lower urinary tract smooth muscles. LUTS 1:550–552 Kim DK, Yoshimura N, Tyagi P, Chancellor MB (2009) Role of sacro/endoplasmic reticulum calcium ATPase in lower urinary tract smooth muscles. LUTS 1:550–552
51.
Zurück zum Zitat Gillespie J, van Koeveringe G, de Wachter S, de Vente J (2009) On the origins of the sensory output from the bladder: the concept of afferent noise. BJU Int 103(10):1324–1333PubMedCrossRef Gillespie J, van Koeveringe G, de Wachter S, de Vente J (2009) On the origins of the sensory output from the bladder: the concept of afferent noise. BJU Int 103(10):1324–1333PubMedCrossRef
52.
Zurück zum Zitat Oh SJ, Ahn SC (2003) Inhibitory effects of potassium channel blockers on carbachol-induced contraction in rat detrusor muscle. J Korean Med Sci 18(5):701–706PubMedCrossRefPubMedCentral Oh SJ, Ahn SC (2003) Inhibitory effects of potassium channel blockers on carbachol-induced contraction in rat detrusor muscle. J Korean Med Sci 18(5):701–706PubMedCrossRefPubMedCentral
54.
Zurück zum Zitat Hill AV (1938) The heat of shortening and the dynamic constants of muscle. Proc R Soc Lond Ser B Biol Sci 126(843):136–195CrossRef Hill AV (1938) The heat of shortening and the dynamic constants of muscle. Proc R Soc Lond Ser B Biol Sci 126(843):136–195CrossRef
55.
Zurück zum Zitat Griffiths DJ (1991) Assessment of detrusor contraction strength or contractility. Neurourol Urodyn 10(1):1–18CrossRef Griffiths DJ (1991) Assessment of detrusor contraction strength or contractility. Neurourol Urodyn 10(1):1–18CrossRef
56.
Zurück zum Zitat Saito M, Ohmura M, Kondo A (1999) Effect of ageing on blood flow to the bladder and bladder function. Urol Int 62(2):93–98PubMedCrossRef Saito M, Ohmura M, Kondo A (1999) Effect of ageing on blood flow to the bladder and bladder function. Urol Int 62(2):93–98PubMedCrossRef
57.
Zurück zum Zitat Metcalfe PD, Wang J, Jiao H, Huang Y, Hori K, Moore RB, Tredget EE (2010) Bladder outlet obstruction: progression from inflammation to fibrosis. BJU Int 106(11):1686–1694PubMedCrossRef Metcalfe PD, Wang J, Jiao H, Huang Y, Hori K, Moore RB, Tredget EE (2010) Bladder outlet obstruction: progression from inflammation to fibrosis. BJU Int 106(11):1686–1694PubMedCrossRef
58.
Zurück zum Zitat Ghafar MA, Shabsigh A, Chichester P, Anastasiadis AG, Borow A, Levin RM, Buttyan R (2002) Effects of chronic partial outlet obstruction on blood flow and oxygenation of the rat bladder. J Urol 167(3):1508–1512PubMedCrossRef Ghafar MA, Shabsigh A, Chichester P, Anastasiadis AG, Borow A, Levin RM, Buttyan R (2002) Effects of chronic partial outlet obstruction on blood flow and oxygenation of the rat bladder. J Urol 167(3):1508–1512PubMedCrossRef
59.
Zurück zum Zitat Mitterberger M, Pallwein L, Gradl J, Frauscher F, Neuwirt H, Leunhartsberger N, Strasser H, Bartsch G, Pinggera GM (2007) Persistent detrusor overactivity after transurethral resection of the prostate is associated with reduced perfusion of the urinary bladder. BJU Int 99(4):831–835. doi:10.1111/j.1464-410X.2006.06735.x PubMedCrossRef Mitterberger M, Pallwein L, Gradl J, Frauscher F, Neuwirt H, Leunhartsberger N, Strasser H, Bartsch G, Pinggera GM (2007) Persistent detrusor overactivity after transurethral resection of the prostate is associated with reduced perfusion of the urinary bladder. BJU Int 99(4):831–835. doi:10.​1111/​j.​1464-410X.​2006.​06735.​x PubMedCrossRef
60.
Zurück zum Zitat Stothers L, Shadgan B, Macnab A (2008) Urological applications of near infrared spectroscopy. Can J Urol 15(6):4399–4409PubMed Stothers L, Shadgan B, Macnab A (2008) Urological applications of near infrared spectroscopy. Can J Urol 15(6):4399–4409PubMed
61.
Zurück zum Zitat Lin AT, Hsu TH, Yang C, Chang LS (2000) Effects of aging on mitochondrial enzyme activity of rat urinary bladder. Urol Int 65(3):144–147PubMedCrossRef Lin AT, Hsu TH, Yang C, Chang LS (2000) Effects of aging on mitochondrial enzyme activity of rat urinary bladder. Urol Int 65(3):144–147PubMedCrossRef
63.
Zurück zum Zitat Azadzoi KM, Tarcan T, Kozlowski R, Krane RJ, Siroky MB (1999) Overactivity and structural changes in the chronically ischemic bladder. J Urol 162(5):1768–1778PubMedCrossRef Azadzoi KM, Tarcan T, Kozlowski R, Krane RJ, Siroky MB (1999) Overactivity and structural changes in the chronically ischemic bladder. J Urol 162(5):1768–1778PubMedCrossRef
64.
Zurück zum Zitat Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal versus impaired contractility. J Urol 150((5 Pt 2)):1657–1667PubMed Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal versus impaired contractility. J Urol 150((5 Pt 2)):1657–1667PubMed
65.
Zurück zum Zitat Huard J, Yokoyama T, Pruchnic R, Qu Z, Li Y, Lee JY, Somogyi GT, de Groat WC, Chancellor MB (2002) Muscle-derived cell-mediated ex vivo gene therapy for urological dysfunction. Gene Ther 9(23):1617–1626. doi:10.1038/sj.gt.3301816 PubMedCrossRef Huard J, Yokoyama T, Pruchnic R, Qu Z, Li Y, Lee JY, Somogyi GT, de Groat WC, Chancellor MB (2002) Muscle-derived cell-mediated ex vivo gene therapy for urological dysfunction. Gene Ther 9(23):1617–1626. doi:10.​1038/​sj.​gt.​3301816 PubMedCrossRef
66.
Zurück zum Zitat Yamanishi T, Yasuda K, Kamai T, Tsujii T, Sakakibara R, Uchiyama T, Yoshida K (2004) Combination of a cholinergic drug and an alpha-blocker is more effective than monotherapy for the treatment of voiding difficulty in patients with underactive detrusor. Int J Urol 11(2):88–96PubMedCrossRef Yamanishi T, Yasuda K, Kamai T, Tsujii T, Sakakibara R, Uchiyama T, Yoshida K (2004) Combination of a cholinergic drug and an alpha-blocker is more effective than monotherapy for the treatment of voiding difficulty in patients with underactive detrusor. Int J Urol 11(2):88–96PubMedCrossRef
68.
Zurück zum Zitat Mamas MA, Reynard JM, Brading AF (2001) Augmentation of nitric oxide to treat detrusor-external sphincter dyssynergia in spinal cord injury. Lancet 357(9272):1964–1967PubMedCrossRef Mamas MA, Reynard JM, Brading AF (2001) Augmentation of nitric oxide to treat detrusor-external sphincter dyssynergia in spinal cord injury. Lancet 357(9272):1964–1967PubMedCrossRef
70.
Zurück zum Zitat Kuo HC (2003) Effect of botulinum a toxin in the treatment of voiding dysfunction due to detrusor underactivity. Urology 61(3):550–554PubMedCrossRef Kuo HC (2003) Effect of botulinum a toxin in the treatment of voiding dysfunction due to detrusor underactivity. Urology 61(3):550–554PubMedCrossRef
71.
Zurück zum Zitat Jung SY, Fraser MO, Ozawa H, Yokoyama O, Yoshiyama M, De Groat WC, Chancellor MB (1999) Urethral afferent nerve activity affects the micturition reflex; implication for the relationship between stress incontinence and detrusor instability. J Urol 162(1):204–212PubMedCrossRef Jung SY, Fraser MO, Ozawa H, Yokoyama O, Yoshiyama M, De Groat WC, Chancellor MB (1999) Urethral afferent nerve activity affects the micturition reflex; implication for the relationship between stress incontinence and detrusor instability. J Urol 162(1):204–212PubMedCrossRef
72.
Zurück zum Zitat Shafik A, Shafik AA, El-Sibai O, Ahmed I (2003) Role of positive urethrovesical feedback in vesical evacuation. The concept of a second micturition reflex: the urethrovesical reflex. World J Urol 21(3):167–170PubMedCrossRef Shafik A, Shafik AA, El-Sibai O, Ahmed I (2003) Role of positive urethrovesical feedback in vesical evacuation. The concept of a second micturition reflex: the urethrovesical reflex. World J Urol 21(3):167–170PubMedCrossRef
76.
Zurück zum Zitat Kuchel GA (2009) Aging and homeostatic regulation. In: Halter J, Hazzard W, Ouslander JG et al (eds) Hazzard’s principles of geriatric medicine and gerontology, 6th edition, 6th edn. McGraw-Hill, New York Kuchel GA (2009) Aging and homeostatic regulation. In: Halter J, Hazzard W, Ouslander JG et al (eds) Hazzard’s principles of geriatric medicine and gerontology, 6th edition, 6th edn. McGraw-Hill, New York
77.
Zurück zum Zitat Kuchel GA, Moscufo N, Guttmann CR, Zeevi N, Wakefield D, Schmidt J, Dubeau CE, Wolfson L (2009) Localization of brain white matter hyperintensities and urinary incontinence in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci 64(8):902–909. doi:10.1093/gerona/glp037 CrossRef Kuchel GA, Moscufo N, Guttmann CR, Zeevi N, Wakefield D, Schmidt J, Dubeau CE, Wolfson L (2009) Localization of brain white matter hyperintensities and urinary incontinence in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci 64(8):902–909. doi:10.​1093/​gerona/​glp037 CrossRef
79.
Zurück zum Zitat Richter HE, Nygaard I, Burgio KL, Handa VL, Fitzgerald MP, Wren P, Zyczynski H, Fine P, Brown MB, Weber AM (2007) Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapse. J Urol 178((3 Pt 1)):965–969. doi:10.1016/j.juro.2007.05.045 discussion 969PubMedCrossRef Richter HE, Nygaard I, Burgio KL, Handa VL, Fitzgerald MP, Wren P, Zyczynski H, Fine P, Brown MB, Weber AM (2007) Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapse. J Urol 178((3 Pt 1)):965–969. doi:10.​1016/​j.​juro.​2007.​05.​045 discussion 969PubMedCrossRef
80.
Zurück zum Zitat Fritel X, Lachal L, Cassou B, Fauconnier A, Dargent-Molina P (2013) Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: results from the Ossébo study. BJOG. doi:10.1111/1471-0528.12316 Fritel X, Lachal L, Cassou B, Fauconnier A, Dargent-Molina P (2013) Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: results from the Ossébo study. BJOG. doi:10.​1111/​1471-0528.​12316
81.
Zurück zum Zitat Shafik A, Shafik I, El-Sibai O (2007) Effect of rectal distension on vesical motor activity in humans: the identification of the recto-vesicourethral reflex. J Spinal Cord Med 30(1):36–39PubMedPubMedCentral Shafik A, Shafik I, El-Sibai O (2007) Effect of rectal distension on vesical motor activity in humans: the identification of the recto-vesicourethral reflex. J Spinal Cord Med 30(1):36–39PubMedPubMedCentral
82.
Zurück zum Zitat Kuchel GA, Moscufo N, Guttmann CR, Zeevi N, Wakefield D, Schmidt J, DuBeau CE, Wolfson L (2009) Localization of brain white matter hyperintensities and urinary incontinence in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci. doi:10.1093/gerona/glp037 Kuchel GA, Moscufo N, Guttmann CR, Zeevi N, Wakefield D, Schmidt J, DuBeau CE, Wolfson L (2009) Localization of brain white matter hyperintensities and urinary incontinence in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci. doi:10.​1093/​gerona/​glp037
Metadaten
Titel
Advanced therapeutic directions to treat the underactive bladder
verfasst von
Phillip P. Smith
Pradeep Tyagi
George A. Kuchel
Subrata Pore
Christopher Chermansky
Michael Chancellor
Naoki Yoshimura
Peter Levanovich
Publikationsdatum
01.09.2014
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe Sonderheft 1/2014
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-014-0809-8

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Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

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