Transvaginal Botulinum Toxin A Chemodenervation for Overactive Bladder

Not Recruiting

Trial ID: NCT05463822

Purpose

Overactive bladder (OAB) is a highly prevalent disease process that, when refractory to oral medication therapy, can be effectively managed with injection of botulinum toxin A (BTA) into the detrusor muscle of the bladder. However, the traditional procedure requires a cystoscope inserted into the bladder which can be painful and is associated with a risk of urinary tract infection. The purpose of this study is to determine if transvaginal injection of BTA into the detrusor muscle of the bladder wall is feasible to perform, and efficacious for the treatment of refractory overactive bladder.

Official Title

Feasibility and Efficacy of Transvaginal Botulinum Toxin A Chemodenervation of the Bladder for the Third Line Treatment of Refractory Overactive Bladder

Stanford Investigator(s)

Amy D. Dobberfuhl, MD, MS
Amy D. Dobberfuhl, MD, MS

Assistant Professor of Urology

Eligibility


Inclusion Criteria:

   - Females with overactive bladder

   - Females who are considering intradetrusor botulinum toxin A chemodenervation for the
   treatment of refractory overactive bladder

Exclusion Criteria:

   - Overactive bladder caused by neurological condition (i.e. spinal cord injury, multiple
   sclerosis, amyotrophic lateral sclerosis, Parkinson's disease, etc.)

   - Predominance of stress urinary incontinence as reported by the patient

   - Involvement in other studies with potentially overlapping indications or symptoms

   - Patients who are unable to undergo a transvaginal ultrasound intervention as a result
   of anatomic barriers or discomfort will be excluded from enrollment

   - Patients known to be pregnant or breastfeeding

   - Known allergy to botulinum toxin A injection therapy

Intervention(s):

drug: Transvaginal botulinum toxin A (BTA) injection

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305