Effectiveness of onabotulinumtoxin A for refractory overactive bladder with cough‐associated detrusor overactivity

Author:

Nakai Chie1ORCID,Miwa Kosei1,Yamaguchi Akane1ORCID,Takeuchi Yasumichi1,Yamaguchi Masami1,Kitagawa Yasuhide2ORCID,Koie Takuya3ORCID

Affiliation:

1. Department of Urology Japanese Red Cross Gifu Hospital Gifu Japan

2. Department of Urology Komatsu Municipal Hospital Komatsu Japan

3. Department of Urology Gifu University Graduate School of Medicine Gifu Japan

Abstract

IntroductionWe report a case of refractory overactive bladder with cough‐associated detrusor overactivity treated by onabotulinumtoxin A.Case presentationA 79‐year‐old woman who underwent mid‐urethral sling surgery 8 years ago complained mainly of urinary incontinence following abdominal pressure. Various medicines to treat overactive bladder symptoms were ineffective. Cystometry revealed cough‐associated detrusor overactivity. Onabotulinumtoxin A injections in her bladder improved subjective symptoms, and cough‐associated detrusor overactivity disappeared on cystometry.ConclusionsOnabotulinumtoxin A injection effectively resolved refractory overactive bladder with urgency urinary incontinence due to cough‐associated detrusor overactivity.

Publisher

Wiley

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