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- W2097125512 abstract "OnabotulinumtoxinA (BoNT-ONA) is approved in approximately 75 countries worldwide. The indication for its use ranges from treatment of frown lines between the brows, severe axillary hyperhidrosis, cervical dystonia, chronic migraine, upper limb spasticity, and blepharospasm to strabismus. And the success story continues. BoNT-ONA was recently approved for the treatment of neurogenic bladder overactivity due to multiple sclerosis (MS) and spinal cord injury. The approval for refractory idiopathic overactive bladder (OAB) is expected soon. Since the first publication showing the beneficial effects of BoNT-ONA in the treatment of idiopathic bladder overactivity, only a few years have passed. Today BoNT-ONA is widely used off-label as a second-line treatment in this patient cohort, even though BoNT-ONA is still not approved. Why? BoNT-ONA has been shown to be effective for neurogenic detrusor activity and also for nonneurogenic bladder overactivity, and severe complications are rare [1–6] .T he main complications in patients with idiopathic OAB include an increase in postvoid residual urine, urinary tract infections, and temporary hematuria [2,7]. Based on the observation that the effect of BoNT-ONA decreases over months, it is now widely recognised that repeated injections are also effective. The symptomatic improvement is maintained after repeated injections [8,9], and injections can be performed using local anesthesia [10]. In addition, the only approved second-line therapy for refractory idiopathic OAB is sacral neuromodulation, a much more complex treatment; other options such as bladder augmentation and bladder catheterization remain unattractive. Furthermore, treatment with BoNT-ONA significantly improves health-related quality of life (HRQoL) in neurogenic and nonneurogenic patients. In 2007, Schurch and colleagues showed that treatment with BoNT-ONA improves HRQoL in patients with neurogenic urinary incontinence [11]. When comparing patients with neurogenic and nonneurogenic bladder overactivity, improvement in HRQoL is greater in neurogenic patients after the first injection. However, after the second injection, improvements in HRQoL score are similar between the groups [12]." @default.
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- W2097125512 date "2012-07-01" @default.
- W2097125512 modified "2023-10-17" @default.
- W2097125512 title "Onabotulinumtoxin A for Idiopathic Overactive Bladder: Raising the Bar" @default.
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- W2097125512 doi "https://doi.org/10.1016/j.eururo.2012.04.033" @default.
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