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2006 | OriginalPaper | Hoofdstuk

Wat zijn de langetermijneffecten van botulinum toxine-A bij overactieve blaas?

Auteurs : P.J. van Leeuwen, B.F.M. Blok

Gepubliceerd in: Vademecum permanente nascholing huisartsen

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

De overactieve blaas (OAB) is een chronische toestand die geassocieerd is met drang om te plassen, vaak plassen en ’s nachts plassen. De prevalentie wordt geschat op ongeveer 16% van de volwassenen, vooral bij de oudere populatie (1,2). In de eerstelijn worden hiervoor vaak de anticholinergica voorgeschreven. Sinds de introductie van botulinum toxine-A (BTX-A) injecties in de detrusor is de behandeling van medicatieresistente OAB sterk veranderd (3). Hoewel BTX-A in veel Nederlandse ziekenhuizen wordt toegepast bij patiënten met OAB, is het middel off-label en niet geregistreerd voor deze indicatie. Het voorschrijven van deze behandeling is op medico-legale verantwoordelijkheid van de uroloog. De gebruikte dosis en herinjectietijd worden gebaseerd op basis van de schaars gepubliceerde ervaringen van collega’s en de nood van de patiënt. Deze publicatie geeft een overzicht van de bestaande literatuur over de dosering en langetermijneffecten van BTX-A-injecties in de blaas.
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Metagegevens
Titel
Wat zijn de langetermijneffecten van botulinum toxine-A bij overactieve blaas?
Auteurs
P.J. van Leeuwen
B.F.M. Blok
Copyright
2006
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-8808-0_1729