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- W2056291238 abstract "No AccessJournal of UrologyClinical Urology: Review Article1 Jul 1999INTRAVESICAL CAPSAICIN AND RESINIFERATOXIN THERAPY: SPICING UP THE WAYS TO TREAT THE OVERACTIVE BLADDER MICHAEL B. CHANCELLOR and WILLIAM C. de GROAT MICHAEL B. CHANCELLORMICHAEL B. CHANCELLOR More articles by this author and WILLIAM C. de GROATWILLIAM C. de GROAT More articles by this author View All Author Informationhttps://doi.org/10.1097/00005392-199907000-00002AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Pharmacological treatment of the overactive bladder relies on partially blocking the efferent parasympathetic innervation to the detrusor with anticholinergic drugs. However, often these drugs have troublesome side effects and doses are insufficient to restore continence in patients with detrusor instability. We present the background, basic and clinical research with intravesical instillation of capsaicin and resiniferatoxin as treatments for the overactive bladder. Materials and Methods: Capsaicin, the main pungent ingredient in hot peppers of the genus Capsicum, is a specific neurotoxin that desensitizes C fiber afferent neurons which may be responsible for signals that trigger detrusor overactivity. Results: In the last 6 years studies have demonstrated encouraging improvement in lower urinary tract symptoms with minimal long-term complications. Most of these studies have also demonstrated that the acute pain and irritation associated with capsaicin are major deterrents to widespread use. Therefore, resiniferatoxin, an ultra-potent analogue of capsaicin which appears to have similar efficacy but less acute side effects, may be more useful. 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Google Scholar From the Department of Pharmacology, Division of Urologic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PennsylvaniaFinancial interest and/or other relationship with Afferon Corporation.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTai C, Ogagan P, Chen G, Larson J, Shen B, Wang J, Roppolo J and de Groat W (2018) Involvement of Opioid Receptors in Inhibition of Bladder Overactivity Induced by Foot Stimulation in CatsJournal of Urology, VOL. 188, NO. 3, (1012-1016), Online publication date: 1-Sep-2012.Frenkl T, Zhu H, Reiss T, Seltzer O, Rosenberg E and Green S (2018) A Multicenter, Double-Blind, Randomized, Placebo Controlled Trial of a Neurokinin-1 Receptor Antagonist for Overactive BladderJournal of Urology, VOL. 184, NO. 2, (616-622), Online publication date: 1-Aug-2010.Chuang Y, Lee W, Lee W and Chiang P (2018) Intravesical Liposome Versus Oral Pentosan Polysulfate for Interstitial Cystitis/Painful Bladder SyndromeJournal of Urology, VOL. 182, NO. 4, (1393-1400), Online publication date: 1-Oct-2009.Lazzeri M, Calò G, Spinelli M, Malaguti S, Guerrini R, Salvadori S, Beneforti P, Regoli D and Turini D (2018) Daily Intravesical Instillation of 1 mg Nociceptin/Orphanin FQ for the Control of Neurogenic Detrusor Overactivity: A Multicenter, Placebo Controlled, Randomized Exploratory StudyJournal of Urology, VOL. 176, NO. 5, (2098-2102), Online publication date: 1-Nov-2006.Green S, Alon A, Ianus J, McNaughton K, Tozzi C and Reiss T (2018) Efficacy and Safety of a Neurokinin-1 Receptor Antagonist in Postmenopausal Women With Overactive Bladder With Urge Urinary IncontinenceJournal of Urology, VOL. 176, NO. 6, (2535-2540), Online publication date: 1-Dec-2006.HANSEN J, MEDIA S, NØHR M, BIERING-SØRENSEN F, SINKJÆR T and RIJKHOFF N (2018) TREATMENT OF NEUROGENIC DETRUSOR OVERACTIVITY IN SPINAL CORD INJURED PATIENTS BY CONDITIONAL ELECTRICAL STIMULATIONJournal of Urology, VOL. 173, NO. 6, (2035-2039), Online publication date: 1-Jun-2005.SEKI S, SASAKI K, IGAWA Y, NISHIZAWA O, CHANCELLOR M, de GROAT W and YOSHIMURA N (2018) Suppression of Detrusor-Sphincter Dyssynergia by Immunoneutralization of Nerve Growth Factor in Lumbosacral Spinal Cord in Spinal Cord Injured RatsJournal of Urology, VOL. 171, NO. 1, (478-482), Online publication date: 1-Jan-2004.de SÈZE M, WIART L, de SÈZE M, SOYEUR L, DOSQUE J, BLAJEZEWSKI S, MOORE N, BROCHET B, MAZAUX J, BARAT M and JOSEPH P (2018) Intravesical Capsaicin Versus Resiniferatoxin for the Treatment of Detrusor Hyperreflexia in Spinal Cord Injured Patients:: A Double-Blind, Randomized, Controlled StudyJournal of Urology, VOL. 171, NO. 1, (251-255), Online publication date: 1-Jan-2004.TYAGI P, CHANCELLOR M, LI Z, de GROAT W, YOSHIMURA N, FRASER M and HUANG L (2018) Urodynamic and Immunohistochemical Evaluation of Intravesical Capsaicin Delivery Using Thermosensitive Hydrogel and LiposomesJournal of Urology, VOL. 171, NO. 1, (483-489), Online publication date: 1-Jan-2004.SMITH C and CHANCELLOR M (2018) EMERGING ROLE OF BOTULINUM TOXIN IN THE MANAGEMENT OF VOIDING DYSFUNCTIONJournal of Urology, VOL. 171, NO. 6 Part 1, (2128-2137), Online publication date: 1-Jun-2004.GIANNANTONI A, DI STASI S, STEPHEN R, BINI V, COSTANTINI E and PORENA M (2018) INTRAVESICAL RESINIFERATOXIN VERSUS BOTULINUM-A TOXIN INJECTIONS FOR NEUROGENIC DETRUSOR OVERACTIVITY: A PROSPECTIVE RANDOMIZED STUDYJournal of Urology, VOL. 172, NO. 1, (240-243), Online publication date: 1-Jul-2004.YOKOYAMA T, NOZAKI K, FUJITA O, NOSE H, INOUE M and KUMON H (2018) ROLE OF C AFFERENT FIBERS AND MONITORING OF INTRAVESICAL RESINIFERATOXIN THERAPY FOR PATIENTS WITH IDIOPATHIC DETRUSOR OVERACTIVITYJournal of Urology, VOL. 172, NO. 2, (596-600), Online publication date: 1-Aug-2004. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 170, NO. 3, (826-827), Online publication date: 1-Sep-2003.COMITER C (2018) Sacral Neuromodulation for the Symptomatic Treatment of Refractory Interstitial Cystitis: A Prospective StudyJournal of Urology, VOL. 169, NO. 4, (1369-1373), Online publication date: 1-Apr-2003.YOSHIMURA N and CHANCELLOR M (2018) Current and Future Pharmacological Treatment for Overactive BladderJournal of Urology, VOL. 168, NO. 5, (1897-1913), Online publication date: 1-Nov-2002.Giannantoni A, Di Stasi S, Stephen R, Navarra P, Scivoletto G, Mearini E and Porena M (2018) Intravesical Capsaicin Versus Resiniferatoxin In Patients With Detrusor Hyperreflexia: A Prospective Randomized StudyJournal of Urology, VOL. 167, NO. 4, (1710-1714), Online publication date: 1-Apr-2002.SEKI N, IKAWA S, TAKANO N and NAITO S (2018) INTRAVESICAL INSTILLATION OF RESINIFERATOXIN FOR NEUROGENIC BLADDER DYSFUNCTION IN A PATIENT WITH MYELODYSPLASIAJournal of Urology, VOL. 166, NO. 6, (2368-2369), Online publication date: 1-Dec-2001.CHARTIER-KASTLER E, RUUD BOSCH J, PERRIGOT M, CHANCELLOR M, RICHARD F and DENYS P (2018) LONG-TERM RESULTS OF SACRAL NERVE STIMULATION (S3) FOR THE TREATMENT OF NEUROGENIC REFRACTORY URGE INCONTINENCE RELATED TO DETRUSOR HYPERREFLEXIAJournal of Urology, VOL. 164, NO. 5, (1476-1480), Online publication date: 1-Nov-2000.SCHURCH B, STÖHRER M, KRAMER G, SCHMID D, GAUL G and HAURI D (2018) BOTULINUM-A TOXIN FOR TREATING DETRUSOR HYPERREFLEXIA IN SPINAL CORD INJURED PATIENTS: A NEW ALTERNATIVE TO ANTICHOLINERGIC DRUGS? 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