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Developments in the pharmacotherapy of the overactive bladder.
Sellers, Donna J; McKay, Neil.
Afiliación
  • Sellers DJ; Biomedical Research Centre, Sheffield Hallam University, Sheffield, UK. d.j.sellers@shu.ac.uk
Curr Opin Urol ; 17(4): 223-30, 2007 Jul.
Article en En | MEDLINE | ID: mdl-17558263
PURPOSE OF REVIEW: The overactive bladder is a common and distressing condition that has a significant impact on the quality of life of many people worldwide. Anticholinergics remain the first line in pharmacotherapy, however the use of these agents is hindered by adverse effects and limited efficacy. Thus there is a need for more effective treatments. Recently, there has been a move towards targeting novel pathways thought to play a role in overactivity. This review aims to provide an insight into the recent developments in pharmacotherapy of the overactive bladder. RECENT FINDINGS: With recent advances in our understanding of the basic science of the overactive bladder it is becoming clear that the control of bladder functioning is far more complex than previously believed. Peripherally, a prominent role has emerged for the urothelium and the underlying suburothelium in mechanosensory control, and the role of afferent pathways in pathophysiology is increasingly recognized. SUMMARY: Recent research has highlighted several potential targets for treatment of the overactive bladder, particularly within the mechanosensory pathways. With the exception of botulinum toxin, however, few new therapies have emerged showing clinical benefits. A clearer understanding of the pathophysiology of the bladder will hopefully lead to more effective and tolerated treatments.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vejiga Urinaria / Vejiga Urinaria Neurogénica / Vejiga Urinaria Hiperactiva Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Curr Opin Urol Asunto de la revista: UROLOGIA Año: 2007 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vejiga Urinaria / Vejiga Urinaria Neurogénica / Vejiga Urinaria Hiperactiva Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Curr Opin Urol Asunto de la revista: UROLOGIA Año: 2007 Tipo del documento: Article Pais de publicación: Estados Unidos