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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kim, Dae Kyung |
| Description | Responsible library: WPRO |
| Abstract | Urinary incontinence (UI) has been a serious health problem which can significantly affect quality of life. UI may occur at any age but more common in the elderly population. Many conditions may leak to UI and differential diagnosis is critical to guide appropriate manage strategy. After a brief description of the pathophysiology, classification, and diagnostic evaluation of UI, this review highlights oral pharmacological therapy mainly in clinical point of view. For urge UI, antimuscarinic are the most commonly used medication supported with high level of evidence. Antimuscarinics competitively block muscarinic receptors with variations in selectivity for the different subtypes. Common adverse effects are dry mouth, constipation, and blurred vision. High caution for cognitive function should be applied in the use of antimuscarinics in the elderly. Mirabegron, a beta3-agonist, is a new class of drug targeting urge UI, which reported similar efficacy with antimuscarinics and favorable adverse effect profile. For stress UI, various type of medications have been clinically investigated but so far none showed satisfactory resolution of stress UI. Duloxetine is the only medication approved for stress UI in European countries but not in US Food and Drug Administration and Korean Food and Drug Administration due to low benefit-risk profile for UI. Conclusively, pharmacological therapy should be tailored to the type of UI. Recent options of medications may give further treatment possibilities for the optimal treatment for each patient. |
| File Format | HTM / HTML |
| ISSN | 19758456 |
| e-ISSN | 20935951 |
| Journal | Journal of the Korean Medical Association |
| Issue Number | 3 |
| Volume Number | 59 |
| Language | Korean |
| Publisher | Korea Medical Association |
| Publisher Date | 2016-01-01 |
| Publisher Place | Korea (South) |
| Access Restriction | Open |
| Subject Keyword | Discipline Therapeutics Classification Constipation Diagnosis, Differential Drug Delivery Systems Duloxetine Hydrochloride Medication Therapy Management Mouth Muscarinic Antagonists Quality Of Life Receptors, Muscarinic United States Food And Drug Administration Urinary Incontinence Urinary Incontinence, Stress Urinary Incontinence, Urge Original Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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