Skip to main content

2015 | OriginalPaper | Buchkapitel

8. Pharmakologie der Drang- und Belastungsharninkontinenz

verfasst von : A. Hegele

Erschienen in: Inkontinenz- und Deszensuschirurgie der Frau

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Harninkontinenz nimmt über die letzten Jahre stetig zu und wird zukünftig eine noch größere medizinische Herausforderung darstellen. Eine adäquate Therapie – je nach Art der Harninkontinenz – ist nur nach einer suffizienten Diagnostik möglich. Verschiedene Therapieoptionen (konservativ, medikamentös, operativ) kommen sequenziell und/oder kombiniert zum Einsatz. Dieses Kapitel informiert neben den pharmakotherapeutischen Ansatzpunkten über den aktuellen Stand der medikamentösen Therapie der Drang- und Belastungsinkontinenz. Aufgeschlüsselt nach der Wirkweise werden die verfügbaren Substanzen umfassend dargestellt. Ein Schwerpunkt ist die Relevanz der Substanzen im täglichen klinischen Alltag mit allen Vor- und Nachteilen.
Literatur
Zurück zum Zitat Armstrong RB, Luber KM, Peters KM (2005) Comparison of dry mouth in women treated with extended-release formulations of oxybutynin or tolterodine for overactive bladder. Int Urol Nephrol 37: 247–252CrossRefPubMed Armstrong RB, Luber KM, Peters KM (2005) Comparison of dry mouth in women treated with extended-release formulations of oxybutynin or tolterodine for overactive bladder. Int Urol Nephrol 37: 247–252CrossRefPubMed
Zurück zum Zitat Blue DR, Daniels DV, Gever JR, Jett MF, O’Yang C, Tang HM, Williams TJ, Ford AP (2004) Pharmacological characteristics of Ro 115-1240, a selective alpha1A/1L-adrenoceptor partial agonist: a potential therapy for stress urinary incontinence. BJU Int 93: 162–170CrossRefPubMed Blue DR, Daniels DV, Gever JR, Jett MF, O’Yang C, Tang HM, Williams TJ, Ford AP (2004) Pharmacological characteristics of Ro 115-1240, a selective alpha1A/1L-adrenoceptor partial agonist: a potential therapy for stress urinary incontinence. BJU Int 93: 162–170CrossRefPubMed
Zurück zum Zitat Cartwright R, Cardozo L (2007) Transdermal oxybutynin: sticking to the facts. Eur Urol 51: 907–914CrossRefPubMed Cartwright R, Cardozo L (2007) Transdermal oxybutynin: sticking to the facts. Eur Urol 51: 907–914CrossRefPubMed
Zurück zum Zitat Chapple C, Sievert KD, MacDiarmid S, Khullar V, Radziszewski P, Nardo C, Thompson C, Zhou J, Haag-Molkenteller C (2013) OnabotulinumtoxinA 100U significantly improves all idiopathic overactive bladder symptoms and quality of life in patients with overactive bladder and urinary incontinence: a randomised, double-blind, placebo-controlled trial. Eur Urol 64: 249–56CrossRefPubMed Chapple C, Sievert KD, MacDiarmid S, Khullar V, Radziszewski P, Nardo C, Thompson C, Zhou J, Haag-Molkenteller C (2013) OnabotulinumtoxinA 100U significantly improves all idiopathic overactive bladder symptoms and quality of life in patients with overactive bladder and urinary incontinence: a randomised, double-blind, placebo-controlled trial. Eur Urol 64: 249–56CrossRefPubMed
Zurück zum Zitat Chapple C, Van Kerrebroeck P, Tubaro A, Haag-Molkenteller C, Forst HT, Massow U, Wang J, Brodsky M (2007) Clinical efficacy, safety, and tolerability of once-daily fesoterodine in subjects with overactive bladder. Eur Urol 52: 1204–12.CrossRefPubMed Chapple C, Van Kerrebroeck P, Tubaro A, Haag-Molkenteller C, Forst HT, Massow U, Wang J, Brodsky M (2007) Clinical efficacy, safety, and tolerability of once-daily fesoterodine in subjects with overactive bladder. Eur Urol 52: 1204–12.CrossRefPubMed
Zurück zum Zitat Chapple CR, Patroneva A, Raines SR (2006) Effect of an ATP-sensitive potassium channel opener in subjects with overactive bladder: a randomized, double-blind, placebo-controlled study (ZD0947IL/0004). Eur Urol 49: 879–886CrossRefPubMed Chapple CR, Patroneva A, Raines SR (2006) Effect of an ATP-sensitive potassium channel opener in subjects with overactive bladder: a randomized, double-blind, placebo-controlled study (ZD0947IL/0004). Eur Urol 49: 879–886CrossRefPubMed
Zurück zum Zitat Chapple CR, Rechberger T, Al-Shukri S, Meffan P, Everaert K, Huang M, Ridder A, YM-905 Study Group (2004) Randomized, double-blind placebo- and tolterodine-controlled trial of the once-daily antimuscarinic agent solifenacin in patients with symptomatic overactive bladder. BJU Int 93: 303–310 Chapple CR, Rechberger T, Al-Shukri S, Meffan P, Everaert K, Huang M, Ridder A, YM-905 Study Group (2004) Randomized, double-blind placebo- and tolterodine-controlled trial of the once-daily antimuscarinic agent solifenacin in patients with symptomatic overactive bladder. BJU Int 93: 303–310
Zurück zum Zitat Dmochowski RR, Appell RA (2000) Advancements in pharmacologic management of the overactive bladder. Urology 56: 41–49CrossRefPubMed Dmochowski RR, Appell RA (2000) Advancements in pharmacologic management of the overactive bladder. Urology 56: 41–49CrossRefPubMed
Zurück zum Zitat Frohme C, Varga Z, Olbert P, Schrader AJ, Hofmann R, Hegele A (2010) Effects of botulinum toxin type A in the single and repeated treatment of overactive bladder. A prospective analysis. Urologe A 49: 639–44CrossRefPubMed Frohme C, Varga Z, Olbert P, Schrader AJ, Hofmann R, Hegele A (2010) Effects of botulinum toxin type A in the single and repeated treatment of overactive bladder. A prospective analysis. Urologe A 49: 639–44CrossRefPubMed
Zurück zum Zitat Fuller RW, Hemrick-Luecke SK, Snoddy HD (1994) Effects of duloxetine, an antidepressant drug candidate, on concentrations of monoamines and their metabolites in rats and mice. J Pharmacol Exp Ther 269: 132–136PubMed Fuller RW, Hemrick-Luecke SK, Snoddy HD (1994) Effects of duloxetine, an antidepressant drug candidate, on concentrations of monoamines and their metabolites in rats and mice. J Pharmacol Exp Ther 269: 132–136PubMed
Zurück zum Zitat Ghoniem GM, Van Leeuwen JS, Elser DM, Freeman RM, Zhao YD, Yalcin I, Bump RC; Duloxetine/Pelvic Floor Muscle Training Clinical Trial Group (2005) A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. J Urol 173: 1647–1653CrossRefPubMed Ghoniem GM, Van Leeuwen JS, Elser DM, Freeman RM, Zhao YD, Yalcin I, Bump RC; Duloxetine/Pelvic Floor Muscle Training Clinical Trial Group (2005) A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. J Urol 173: 1647–1653CrossRefPubMed
Zurück zum Zitat Ginsberg D, Gousse A, Keppenne V, Sievert KD, Thompson C, Lam W, Brin MF, Jenkins B, Haag-Molkenteller C (2012) Phase 3 efficacy and tolerability study of onabotulinumtoxinA for urinary incontinence from neurogenic detrusor overactivity. J Urol 187: 2131–9CrossRefPubMed Ginsberg D, Gousse A, Keppenne V, Sievert KD, Thompson C, Lam W, Brin MF, Jenkins B, Haag-Molkenteller C (2012) Phase 3 efficacy and tolerability study of onabotulinumtoxinA for urinary incontinence from neurogenic detrusor overactivity. J Urol 187: 2131–9CrossRefPubMed
Zurück zum Zitat Ginsberg D, Schneider T, Kelleher C, Van Kerrebroeck P, Swift S, Creanga D, Martire DL (2013) Efficacy of fesoterodine compared with extended-release tolterodine in men and women with overactive bladder. BJU Int 112: 373–85CrossRefPubMed Ginsberg D, Schneider T, Kelleher C, Van Kerrebroeck P, Swift S, Creanga D, Martire DL (2013) Efficacy of fesoterodine compared with extended-release tolterodine in men and women with overactive bladder. BJU Int 112: 373–85CrossRefPubMed
Zurück zum Zitat Haab F, Corcos J, Siami P, Glavind K, Dwyer P, Steel M, Kawakami F, Lheritier K, Steers WD (2006) Long-term treatment with darifenacin for overactive bladder: results of a 2-year, open-label extension study. BJU Int 98: 1025–1032CrossRefPubMed Haab F, Corcos J, Siami P, Glavind K, Dwyer P, Steel M, Kawakami F, Lheritier K, Steers WD (2006) Long-term treatment with darifenacin for overactive bladder: results of a 2-year, open-label extension study. BJU Int 98: 1025–1032CrossRefPubMed
Zurück zum Zitat Hegele A, Frohme C, Varga Z, Olbert P, Kranz J, Hofmann R (2011) Antibodies after botulinum toxin A injection into musculus detrusor vesicae: incidence and clinical relevance. Urol Int 87: 439–44CrossRefPubMed Hegele A, Frohme C, Varga Z, Olbert P, Kranz J, Hofmann R (2011) Antibodies after botulinum toxin A injection into musculus detrusor vesicae: incidence and clinical relevance. Urol Int 87: 439–44CrossRefPubMed
Zurück zum Zitat Jost WH, Marsalek P, Michel MC (2005) Pharmacotherapy of stress incontinence. Dtsch Med Wochenschr 130: 2337–2342CrossRefPubMed Jost WH, Marsalek P, Michel MC (2005) Pharmacotherapy of stress incontinence. Dtsch Med Wochenschr 130: 2337–2342CrossRefPubMed
Zurück zum Zitat Kelleher CJ, Tubaro A, Wang JT, Kopp Z (2008) Impact of fesoterodine on quality of life: pooled data from two randomized trials. BJU Int 102: 56–61CrossRefPubMed Kelleher CJ, Tubaro A, Wang JT, Kopp Z (2008) Impact of fesoterodine on quality of life: pooled data from two randomized trials. BJU Int 102: 56–61CrossRefPubMed
Zurück zum Zitat Knippschild S, Frohme C, Olbert P, Hofmann R, Hegele A (2012) Value of nerve growth factor levels in overactive bladder syndrome: alterations after botulinum toxin therapy. Urologe A 51: 379–83CrossRefPubMed Knippschild S, Frohme C, Olbert P, Hofmann R, Hegele A (2012) Value of nerve growth factor levels in overactive bladder syndrome: alterations after botulinum toxin therapy. Urologe A 51: 379–83CrossRefPubMed
Zurück zum Zitat Millard RJ, Moore K, Rencken R, Yalcin I, Bump RC; Duloxetine UI Study Group (2004) Duloxetine vs placebo in the treatment of stress urinary incontinence: a four-continent randomized clinical trial. BJU Int 93: 311–318CrossRef Millard RJ, Moore K, Rencken R, Yalcin I, Bump RC; Duloxetine UI Study Group (2004) Duloxetine vs placebo in the treatment of stress urinary incontinence: a four-continent randomized clinical trial. BJU Int 93: 311–318CrossRef
Zurück zum Zitat Nitti VW, Auerbach S, Martin N, Calhoun A, Lee M, Herschorn S (2013) Results of a randomized phase III trial of mirabegron in patients with overactive bladder. J Urol 189: 1388–95CrossRefPubMed Nitti VW, Auerbach S, Martin N, Calhoun A, Lee M, Herschorn S (2013) Results of a randomized phase III trial of mirabegron in patients with overactive bladder. J Urol 189: 1388–95CrossRefPubMed
Zurück zum Zitat Nitti VW, Dmochowski R, Herschom S, Sand P, Thompson C, Nardo C, Yan X, Haag-Molkenteller C: EMBARK Study Group (2013) OnabotulinumtoxinA for the treatment of patients with overactive bladder and urinary incontinence: results of a phase 3, randomized, placebo controlled trial. J Urol 189: 1286–93 Nitti VW, Dmochowski R, Herschom S, Sand P, Thompson C, Nardo C, Yan X, Haag-Molkenteller C: EMBARK Study Group (2013) OnabotulinumtoxinA for the treatment of patients with overactive bladder and urinary incontinence: results of a phase 3, randomized, placebo controlled trial. J Urol 189: 1286–93
Zurück zum Zitat Robinson D, Cardozo LD (2003) The role of estrogens in female lower urinary tract dysfunction. Urology 62: 45–51CrossRefPubMed Robinson D, Cardozo LD (2003) The role of estrogens in female lower urinary tract dysfunction. Urology 62: 45–51CrossRefPubMed
Zurück zum Zitat Schurch B (2006) Botulinum toxin for the management of bladder dysfunction. Drugs 66: 1301–1318CrossRefPubMed Schurch B (2006) Botulinum toxin for the management of bladder dysfunction. Drugs 66: 1301–1318CrossRefPubMed
Zurück zum Zitat Schurch Bm Schmid DM, Stöhrer M (2000) Treatment of neurogenic incontinence with botulinum toxin A. N Engl J Med 342: 665CrossRefPubMed Schurch Bm Schmid DM, Stöhrer M (2000) Treatment of neurogenic incontinence with botulinum toxin A. N Engl J Med 342: 665CrossRefPubMed
Zurück zum Zitat Stohrer M, Murtz G, Kramer G, Schnabel F, Arnold EP, Wyndaele JJ; Propiverine Investigator Group (2007) Propiverine compared to oxybutynin in neurogenic detrusor overactivity – results of a randomized, double-blind, multicenter clinical study. Eur Urol 51: 235–242CrossRef Stohrer M, Murtz G, Kramer G, Schnabel F, Arnold EP, Wyndaele JJ; Propiverine Investigator Group (2007) Propiverine compared to oxybutynin in neurogenic detrusor overactivity – results of a randomized, double-blind, multicenter clinical study. Eur Urol 51: 235–242CrossRef
Zurück zum Zitat Thor KB, Katofiasc MA (1995) Effects of duloxetine, a combined serotonin and norepinephrine reuptake inhibitor, on central neural control of lower urinary tract function in the chloralose-anesthetized female cat. J Pharmacol Exp Ther 274: 1014–1024PubMed Thor KB, Katofiasc MA (1995) Effects of duloxetine, a combined serotonin and norepinephrine reuptake inhibitor, on central neural control of lower urinary tract function in the chloralose-anesthetized female cat. J Pharmacol Exp Ther 274: 1014–1024PubMed
Zurück zum Zitat Truss MC, Stief CG, Uckert S, Becker AJ, Wefer J, Schultheiss D, Jonas U (2001) Phosphodiesterase 1 inhibition in the treatment of lower urinary tract dysfunction: from bench to bedside. World J Urol 19: 344–350CrossRefPubMed Truss MC, Stief CG, Uckert S, Becker AJ, Wefer J, Schultheiss D, Jonas U (2001) Phosphodiesterase 1 inhibition in the treatment of lower urinary tract dysfunction: from bench to bedside. World J Urol 19: 344–350CrossRefPubMed
Zurück zum Zitat Visco AG, Brubaker L, Richter HE, Nygaard I, Paraiso MF, Menefee SA, Schaffer J, Lowder J, Khandwala S, Sirls L, Spino C, Nolen TL, Wallace D, Meikle SF; Pelvic Floor Disorders Network (2012) Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence. N Engl J Med 367: 1803–13CrossRefPubMedPubMedCentral Visco AG, Brubaker L, Richter HE, Nygaard I, Paraiso MF, Menefee SA, Schaffer J, Lowder J, Khandwala S, Sirls L, Spino C, Nolen TL, Wallace D, Meikle SF; Pelvic Floor Disorders Network (2012) Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence. N Engl J Med 367: 1803–13CrossRefPubMedPubMedCentral
Zurück zum Zitat Weiss JP, Jumadilova Z, Johnson TM 2nd, Fitzgerald MP, Carlsson M, Martire DL, Malhotra A (2013) Efficacy and safety of flexible dose fesoterodine in men and women with overactive bladder symptoms including nocturnal urinary urgency. J Urol 189: 1396–401CrossRefPubMed Weiss JP, Jumadilova Z, Johnson TM 2nd, Fitzgerald MP, Carlsson M, Martire DL, Malhotra A (2013) Efficacy and safety of flexible dose fesoterodine in men and women with overactive bladder symptoms including nocturnal urinary urgency. J Urol 189: 1396–401CrossRefPubMed
Zurück zum Zitat Zinner NR (2005) Trospium chloride: an anticholinergic quaternary ammonium compound for the treatment of overactive bladder. Expert Opin Pharmacother 6: 1409–1420CrossRefPubMed Zinner NR (2005) Trospium chloride: an anticholinergic quaternary ammonium compound for the treatment of overactive bladder. Expert Opin Pharmacother 6: 1409–1420CrossRefPubMed
Metadaten
Titel
Pharmakologie der Drang- und Belastungsharninkontinenz
verfasst von
A. Hegele
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-43671-4_8

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.