Overactive bladder symptoms and idiopathic detrusor overactivity. Urological and Genital Diseases Other disorders of bladder
Conditions
Interventions
Baseline: voiding diary, urodynamics, quality of life (QoL) questionnaires.
Flexible cystoscopy and 3 bladder biopsies followed by injection of either 200 u of botulinum toxin A (20 injections at 10 u
Sponsors
Guy's and St Thomas' NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Refractory to traditional anticholinergic therapy either due to poor efficacy or side effects 2. Proven detrusor overactivity on urodynamic studies 3. Detrusor overactivity of non-neurogenic origin
Exclusion criteria
Exclusion criteria: 1. Pregnancy or planned pregnancy 2. Breast Feeding 3. Indwelling catheter 4. Current anticoagulation e.g. heparin or warfarin 5. Neurogenic detrusor overactivity 6. Painful bladder syndromes 7. Previous bladder surgery e.g. augmentation cystoplasty
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Urinary frequency/24 hours 2. Maximum cystometric capacity | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Urinary urgency/24 hours 2. Urge incontinence/24 hours 3. QoL: 3 validated QoL questionnaires (KHQ, UDI6, IIQ7) 4. Urodynamic variables: 4.1. time to first invluntary detrusor contraction 4.2. maximum detrusor pressure on filling/voiding 4.3. post void residual | — |
Countries
United Kingdom
Outcome results
None listed