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Current and Emerging Pharmacological Targets and Treatments of Urinary Incontinence and Related Disorders

Michel, Martin C. ; Cardozo, Linda ; Chermansky, Christopher J. ; Cruz, Francisco ; Igawa, Yasuhiko ; Lee, Kyu Sung ; Sahai, Arun ; Wein, Alan J. and Andersson, Karl Erik LU orcid (2023) In Pharmacological Reviews 75(4). p.554-674
Abstract

Overactive bladder syndrome with and without urinary incontinence and related conditions, signs, and disorders such as detrusor overactivity, neurogenic lower urinary tract dysfunction, underactive bladder, stress urinary incontinence, and nocturia are common in the general population and have amajor impact on the quality of life of the affected patients and their partners. Based on the deliberations of the subcommittee on pharmacological treatments of the 7th International Consultation on Incontinence, we present a comprehensive review of established drug targets in the treatment of overactive bladder syndrome and the aforementioned related conditions and the approved drugs used in its treatment. Investigational drug targets and... (More)

Overactive bladder syndrome with and without urinary incontinence and related conditions, signs, and disorders such as detrusor overactivity, neurogenic lower urinary tract dysfunction, underactive bladder, stress urinary incontinence, and nocturia are common in the general population and have amajor impact on the quality of life of the affected patients and their partners. Based on the deliberations of the subcommittee on pharmacological treatments of the 7th International Consultation on Incontinence, we present a comprehensive review of established drug targets in the treatment of overactive bladder syndrome and the aforementioned related conditions and the approved drugs used in its treatment. Investigational drug targets and compounds are also reviewed.We conclude that, despite a range of available medical treatment options, a considerable medical need continues to exist. This is largely because the existing treatments are symptomatic and have limited efficacy and/or tolerability, which leads to poor long-termadherence. Significance Statement——Urinary incontinence and related disorders are prevalent in the general population. Whilemany treatments have been approved, few patients stay on long-term treatment despite none of them being curative. This paper provides a comprehensive discussion of existing and emerging treatment options for various types of incontinence and related disorders.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Pharmacological Reviews
volume
75
issue
4
pages
121 pages
publisher
American Society for Pharmacology and Experimental Therapeutics
external identifiers
  • pmid:36918261
  • scopus:85163750664
ISSN
0031-6997
DOI
10.1124/pharmrev.121.000523
language
English
LU publication?
yes
id
58fac520-31d3-4775-8440-1a4274a1b078
date added to LUP
2023-09-14 14:14:12
date last changed
2024-04-20 03:15:15
@article{58fac520-31d3-4775-8440-1a4274a1b078,
  abstract     = {{<p>Overactive bladder syndrome with and without urinary incontinence and related conditions, signs, and disorders such as detrusor overactivity, neurogenic lower urinary tract dysfunction, underactive bladder, stress urinary incontinence, and nocturia are common in the general population and have amajor impact on the quality of life of the affected patients and their partners. Based on the deliberations of the subcommittee on pharmacological treatments of the 7th International Consultation on Incontinence, we present a comprehensive review of established drug targets in the treatment of overactive bladder syndrome and the aforementioned related conditions and the approved drugs used in its treatment. Investigational drug targets and compounds are also reviewed.We conclude that, despite a range of available medical treatment options, a considerable medical need continues to exist. This is largely because the existing treatments are symptomatic and have limited efficacy and/or tolerability, which leads to poor long-termadherence. Significance Statement——Urinary incontinence and related disorders are prevalent in the general population. Whilemany treatments have been approved, few patients stay on long-term treatment despite none of them being curative. This paper provides a comprehensive discussion of existing and emerging treatment options for various types of incontinence and related disorders.</p>}},
  author       = {{Michel, Martin C. and Cardozo, Linda and Chermansky, Christopher J. and Cruz, Francisco and Igawa, Yasuhiko and Lee, Kyu Sung and Sahai, Arun and Wein, Alan J. and Andersson, Karl Erik}},
  issn         = {{0031-6997}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{554--674}},
  publisher    = {{American Society for Pharmacology and Experimental Therapeutics}},
  series       = {{Pharmacological Reviews}},
  title        = {{Current and Emerging Pharmacological Targets and Treatments of Urinary Incontinence and Related Disorders}},
  url          = {{http://dx.doi.org/10.1124/pharmrev.121.000523}},
  doi          = {{10.1124/pharmrev.121.000523}},
  volume       = {{75}},
  year         = {{2023}},
}