两种治疗膀胱过度活动症方法的比较：快速概述。
Comparison of Two Treatment Modalities in Overactive Bladder: A Rapid Overview.
机构信息
Department of Surgery - Division of Urology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia.
Department of Urology, King Fahad General Hospital, Ministry of Health, Jeddah, Saudi Arabia.
出版信息
Med Arch. 2022 Dec;76(6):469-472. doi: 10.5455/medarh.2022.76.469-472.
BACKGROUND
Overactive bladder is a syndrome of urgency with the absence of infection and is usually accompanied by frequency and nocturia. Both sacral neuromodulation (SNM) and intravesical botulinum toxin (BTX) injection are used contentiously in overactive bladder after failure of conservative management.
OBJECTIVE
We aimed to provide an updated comparative overview of BTX injection versus SNM in the treatment of overactive bladder.
METHODS
PubMed and Google scholar databases were explored starting from 2016 to 2022 to obtain relevant articles. English studies on adult population were included.
RESULTS
Six articles included 648 participants were included in the current overview. Both BTX and SNM are comparable for the treatment of overactive bladder, with no major complications were reported. However, the use of SNM for refractory overactive bladder after failure of BTX was more successful and effective and resulted in patient satisfaction compared to the use of BTX after failure of SNM.
CONCLUSION
Our update provides the latest comparative overview of outcomes of BTX versus SNM in the treatment of overactive bladder.
背景
膀胱过度活动症是一种以尿急为特征的综合征，无感染，常伴有尿频和夜尿症。骶神经调节（SNM）和膀胱内肉毒毒素（BTX）注射在保守治疗失败后均被用于治疗膀胱过度活动症。
目的
我们旨在提供关于 BTX 注射与 SNM 治疗膀胱过度活动症的最新对比综述。
方法
从 2016 年到 2022 年，我们检索了 PubMed 和 Google Scholar 数据库以获取相关文章。纳入了针对成人的英语研究。
结果
目前的综述共纳入了 6 项研究，共 648 名参与者。BTX 和 SNM 治疗膀胱过度活动症的效果相当，均未报告严重并发症。然而，与 SNM 治疗失败后使用 BTX 相比，BTX 治疗失败后使用 SNM 治疗难治性膀胱过度活动症更成功和有效，并能提高患者满意度。
结论
我们的更新提供了关于 BTX 与 SNM 治疗膀胱过度活动症的最新对比综述。
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