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Erschienen in: Current Bladder Dysfunction Reports 1/2017

24.01.2017 | Overactive Bladder (U Lee, Section Editor)

Urinary Tract Infection Rates and Mechanisms After OnabotulinumtoxinA Bladder Injection: a Review

verfasst von: Daniel Hoffman, Kimberly L. Ferrante

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 1/2017

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Abstract

Purpose of Review

Intradetrusor onabotulinumtoxinA therapy has proven effective in decreasing episodes of urgency urinary incontinence and improving quality of life in patients with refractory idiopathic and neurogenic detrusor overactivity. While the definition and reporting of urinary tract infections as well as dosing of onabotulinumtoxin varied across trials, there was a demonstrated increased risk of developing a urinary tract infection with onabotulinumtoxinA injections when compared to placebo injection.

Recent Findings

Occurrence of urinary tract infections was found to persist through multiple treatment cycles, while the rates of catheterization seem to decrease with subsequent treatments.

Summary

While multiple theories exist, the current literature has not been able to elucidate the mechanism by which intradetrusor onabotulinumtoxinA injections increase the risk of urinary tract infections.
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Metadaten
Titel
Urinary Tract Infection Rates and Mechanisms After OnabotulinumtoxinA Bladder Injection: a Review
verfasst von
Daniel Hoffman
Kimberly L. Ferrante
Publikationsdatum
24.01.2017
Verlag
Springer US
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 1/2017
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0404-9

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