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- W2098366971 abstract "No AccessJournal of UrologyPediatric urology1 Jul 2006The Effect of Botulinum-A Toxin in Incontinent Children With Therapy Resistant Overactive Detrusor P. Hoebeke, K. De Caestecker, J. Vande Walle, J. Dehoorne, A. Raes, P. Verleyen, and E. Van Laecke P. HoebekeP. Hoebeke Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author , K. De CaesteckerK. De Caestecker Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author , J. Vande WalleJ. Vande Walle Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author , J. DehoorneJ. Dehoorne Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author , A. RaesA. Raes Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author , P. VerleyenP. Verleyen Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author , and E. Van LaeckeE. Van Laecke Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(06)00301-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the effect of detrusor injection of botulinum-A toxin in a cohort of children with therapy resistant nonneurogenic detrusor overactivity. This prospective study included therapy resistant children with overactive bladder. Material and Methods: During the study period of 19 months 10 boys and 11 girls were included. All patients showed decreased bladder capacity for age, urge and urge incontinence. Main treatment duration before inclusion was 45 months. A dose of 100 U botulinum-A toxin (Botox®) was injected in the detrusor. Results: Side effects were evaluated in all 21 included patients. The side effects reported were 10-day temporary urinary retention in 1 girl and signs of vesicoureteral reflux with flank pain during voiding in 1 boy, which disappeared spontaneously after 2 weeks. No further examinations were done since the boy refused. Two girls experienced 1 episode each of symptomatic lower urinary tract infection. Eight girls and 7 boys with a minimum followup of 6 months represent the study group for long-term evaluation. In this study group after 1 injection 9 patients showed full response (no more urge and dry during the day) with a mean increase in bladder capacity from 167 to 271 ml (p <0.001). Three patients showed a partial response (50% decrease in urge and incontinence) and 3 remained unchanged. Eight of the 9 full responders were still cured after 12 months, while 1 of the initially successfully treated patients had relapse after 8 months. The 3 partial responders and the patient with relapse underwent a second injection with a full response in the former full responder and in 1 partial responder. Conclusions: Botulinum-A toxin injection in children with nonneurogenic overactive detrusor is an excellent treatment adjunct, leading to long-term results in 70% after 1 injection. References 1 : Botulinum-A toxin as a new therapy option for voiding disorders: current state of the art. Eur Urol2003; 44: 165. Google Scholar 2 : The effect of botulinum-A toxin on patients with severe urge urinary incontinence. J Urol2004; 172: 2316. Link, Google Scholar 3 : Efficacy of botulinum-A toxin in children with detrusor hyperreflexia due to myelomeningocele: preliminary results. Urology2002; 59: 325. Google Scholar 4 : Botulinum-A toxin injection into the detrusor: a safe alternative in the treatment of children with myelomeningocele with detrusor hyperreflexia. J Urol2004; 171: 845. Link, Google Scholar 5 : The standardisation of terminology in lower urinary tract function: report from the Standardisation Sub-Committee of the International Continence Society. Urology2003; 61: 37. Google Scholar 6 : Emerging role of botulinum toxin in the management of voiding dysfunction. J Urol2004; 171: 2128. Link, Google Scholar 7 : Botulinum-A toxin: dangerous terminology errors. J R Soc Med1993; 86: 493. Google Scholar 8 : Effect of muscle activity and botulinum-A toxin dilution volume on muscle paralysis. Dev Med Child Neurol2003; 45: 200. Google Scholar 9 : Cross reaction of tetanus and Botulinum neurotoxins A and B and the boosting effect of botulinum neurotoxins A and B on primary anti-tetanus antibody response. Immunol Invest2002; 31: 247. Google Scholar 10 : Response and immunoresistance to botulinum-A toxin injections. Neurology1995; 45: 1743. Google Scholar 11 : Botulinum-A toxin: chemistry, pharmacology, toxicity and immunology. Muscle Nerve Suppl1997; 6: S146. Google Scholar 12 : Success of repeat detrusor injections of botulinum a toxin in patients with severe neurogenic detrusor overactivity and incontinence. Eur Urol2005; 47: 653. Google Scholar © 2006 by American Urological AssociationFiguresReferencesRelatedDetailsCited byFranco I, Landau-Dyer L, Isom-Batz G, Collett T and Reda E (2007) The Use of Botulinum Toxin A Injection for the Management of External Sphincter Dyssynergia in Neurologically Normal ChildrenJournal of Urology, VOL. 178, NO. 4S, (1775-1780), Online publication date: 1-Oct-2007.Franco I (2018) Overactive Bladder in Children. Part 2: ManagementJournal of Urology, VOL. 178, NO. 3, (769-774), Online publication date: 1-Sep-2007.Petronijevic V, Lazovic M, Vlajkovic M, Slavkovic A, Golubovic E and Miljkovic P (2018) Botulinum Toxin Type A in Combination With Standard Urotherapy for Children With Dysfunctional VoidingJournal of Urology, VOL. 178, NO. 6, (2599-2603), Online publication date: 1-Dec-2007. Volume 176Issue 1July 2006Page: 328-331 Advertisement Copyright & Permissions© 2006 by American Urological AssociationKeywordsbotulinum toxin type Amusclechildurinary incontinencebladdersmoothMetricsAuthor Information P. Hoebeke Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author K. De Caestecker Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author J. Vande Walle Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author J. Dehoorne Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author A. Raes Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium Department of Pediatric Nephrology, Ghent University Hospital, Gent, Belgium More articles by this author P. Verleyen Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author E. Van Laecke Department of Pediatric Urology, Ghent University Hospital, Gent, Belgium More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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