Use of Botulinum Toxin A (BoNT-A) in Detrusor External Sphincter Dyssynergia (DESD): A Systematic Review and Meta-analysis.

Urology 2020 Vol.140() p. 7-13

Goel S, Pierce H, Pain K, Christos P, Dmochowski R, Chughtai B

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Abstract

We performed a systematic review to examine the efficacy and outcomes of Botulinum Toxin A (BoNT-A) as the primary intervention strategy for patients with detrusor external sphincter dyssynergia. Eleven studies were included in the analysis (n = 353; 16% female, 84% male). BoNT-A was effective in 60%-78% of patients for reducing postvoid residual, mean detrusor pressure, detrusor leak point pressure, and mean urethral pressure 1 month after injection. Most patients required reinjection after an average of 4-9 months. BoNT-A was not associated with any significant adverse events, and may improve quality of life, as well as urodynamic parameters for detrusor external sphincter dyssynergia.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 2

MeSH Terms

Adult; Anal Canal; Anus Diseases; Ataxia; Botulinum Toxins, Type A; Clinical Trials as Topic; Female; Humans; Male; Middle Aged; Neuromuscular Agents; Prospective Studies; Quality of Life; Retreatment; Retrospective Studies; Treatment Outcome; Urethra

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