Применение Ботулотоксина в лечении Гиперактивного Мочевого пузыря Application of Botox (botulinumtoxinum A) In the treatment of Overactive Bladder

1. Application of Botox (botulinumtoxinum A) In the treatment of Overactive Bladder Speaker` G.V. Grigoryan

2. Overactive Bladder The term “Overactive bladder” can be described as a complex of symptoms such as frequent urination, imperative urges for urination and nocturia in absence of other lesions of bladder.

4. 17% of European population suffer from hyperactive bladder symptoms. Epidemiology (Milsom I et al. BJU International 2001; 87:760-766)

8. Clinical Case. Diary of urination

11. According to European Association of Urology guidelines Clinical Case. Treatment of choice Uneffectivness of pharmaceautical treatment Direction

14. Clinical Case. Botox 30 ml of 300 U Botox solution was injected within local anestesia

15. Clinical case: Cistoscpoy

16. Clinical case: Tecnique of injection

18. Clinical Case. Adventages and disadventages of method Price Disapearance of simptoms in 2-3 days Improvement of quality of life Recurrence of manipulation once in 6-12 month

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