To investigate whether prolonged period of treatment (6 months) can have a better therapeutic outcome than conventional period (3 months) of antimuscarinics.
Overactive bladder syndrome (OAB), with or without urge incontinence, is characterized by urinary urgency, frequency and nocturia. Thus, patients with OAB could be considered to have a reduced quality of life. Patients with overactive bladder syndrome have a higher risk of falling and fracture due to nocturia. OAB affects around 17 % of female population. At present, muscarinic receptor antagonists are the first-line pharmacotherapeutic agents for OAB. However, discontinuation of the treatment often results in symptom relapse. Until now, optimal duration of the treatment and durability of the efficacy have not been determined. We plan to use urodynamic studies outcome to evaluate therapeutic effect, with the change of urinary nerve growth factor level. This study is a randomized prospective study, comparing female OAB patient after 3 months and 6 months of antimuscarinic treatment. The purpose of this study is to investigate the difference of urodynamic effects, therapeutic effect and urinary urinary nerve growth factor level between OAB females after 3 months and 6 months antimuscarinic treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Solifenacin 5 mg one a day for 12 weeks
Solifenacin 5 mg once a day for 24 weeks
Department of Obstetrics & Gynecology, National Taiwan University Hospital
Taipei, Taiwan
RECRUITINGThe rate of normalized urodynamic findings
The rate of normalized urodynamic finding after antimuscarinics
Time frame: 6 months
The cure rate of overactive bladder
The cure rate of overactive bladder after antimuscarinics
Time frame: 24 weeks
The recurrence rate of overactive bladder
The recurrence rate of overactive bladder after antimuscarinics
Time frame: 2.5 years
The difference of urine nerve growth factor level
The difference of urine nerve growth factor level after antimuscarinics
Time frame: 24 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.