579 Pilot study of liposome encapsulated onabotulinumtoxinA for patients with overactive bladder – clinical results and changes of urothelial sensory proteins in a single centre

2014 ◽  
Vol 13 (1) ◽  
pp. e579-e579a
Author(s):  
Y-H. Jiang ◽  
H-C. Kuo ◽  
H-T. Liu ◽  
Y-C. Chuang ◽  
L-A. Birder ◽  
...  
2015 ◽  
Vol 86 (11) ◽  
pp. e4.20-e4 ◽  
Author(s):  
Jai Seth ◽  
Collette Haslam ◽  
Gwen Gonzales ◽  
Mahreen Pakzad ◽  
Arvind Vashisht ◽  
...  

IntroductionPercutaneous tibial nerve stimulation (PTNS) is effective for managing multiple sclerosis (MS)-related overactive bladder (OAB) symptoms. However the need for weekly clinic visits restricts its use. The purpose of this study was to evaluate safety and efficacy of a novel, self-applying device for managing OAB symptoms.Study design, materials and methods48 patients reporting OAB (MS n=24, idiopathic n=24), were randomized (1:1) to either daily or weekly treatments for 12 weeks with geko™, a novel device stimulating the tibial nerve transcutaneously. Efficacy was assessed using validated questionnaires (ICIQ-OAB, ICIQLUTS-QoL) and bladder diaries filled at weeks 4, 8, and 12. Urinary neurotrophins (Nerve growth factor (NGF) and Brain derived neurotrophic factor) were measured.Results34 patients (MS n=19) completed the study. 18 patients responded to treatment (53%); 72% of responders belonged to the MS cohort. Multilevel regression analysis suggested significant improvements in questionnaire scores (ICIQ-OAB –10.2 (–13.5 to –6.9; p=0.001), ICIQLUTS-QOL –40.8 (–57.4 to –24.3; p=0.000)), without differences between weekly and daily-treated arms. No significant adverse effects were reported and patients rated the treatment as easy to use and comfortable. NGF levels at baseline were significantly greater in non-responders (p=0.05).Concluding messageIn this pilot study, a patch device suitable for self-application at home appears to be an effective, safe and convenient alternative for managing MS-related OAB symptoms.


2014 ◽  
Vol 70 (1) ◽  
pp. 23-29 ◽  
Author(s):  
A. Goubella ◽  
N. Broeders ◽  
J. Racapé ◽  
A. Hamade ◽  
A. Massart ◽  
...  

2009 ◽  
Vol 69 (8) ◽  
pp. 1475-1478 ◽  
Author(s):  
C. S. Brueckner ◽  
M. O. Becker ◽  
T. Kroencke ◽  
D. Huscher ◽  
H. U. Scherer ◽  
...  

2021 ◽  
pp. annrheumdis-2020-219303
Author(s):  
Yijun You ◽  
Ce Shi ◽  
Zhuochao Zhou ◽  
Fan Wang ◽  
Yue Sun ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 33 ◽  
Author(s):  
Alessandro Nota ◽  
Floriana Bosco ◽  
Shideh Ehsani ◽  
Francesca Giugliano ◽  
Giulia Moreo ◽  
...  

Objective: This pilot study is a prospective controlled clinical trial, designed to evaluate the short-term clinical results (the plaque index) of an educational/motivational program for home oral hygiene, directed to children and adolescents who live in family-homes. Methods: The setting of the project was the province of Milan (Italy), where two family-homes were selected. The study group included 26 children (16 females and 10 males) aged between 7 and 15 years, of Italian nationality, from the family-home communities. The control group included 26 children (15 females and 11 males, aged between 7 and 15 years) of Italian nationality, matched for age and gender distribution with the study group, that were not in a socially disadvantaged condition. Collection of the plaque index (PI) was performed at t0. Then, all basic oral hygiene instructions were given to all children/adolescents and their educators. Education and motivation were repeated in the same way after 4–7 weeks (T1), and after 10–12 weeks (T2). The PI was taken also at T1 and T2. Results: An improvement in the PI was generally found in both groups, but there was no statistically significant difference between the two groups over time. Multivariate analysis of variance (MANOVA) revealed a statistically significant effect of time [F (1, 52) = 90.73, p < 0.001], regardless of the assignment group, in consequence of which the plaque index presented a moderate and significant improvement. Conclusion: The present data confirm the validity of the educational/motivational program to improve oral hygiene in children/adolescents, regardless of the assignment group.


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