Abstract
The study assessed the effect of offering a 4-week course of duloxetine therapy to 73 women awaiting a tension-free vaginal tape (TVT) operation. Twenty-seven women (37%) declined taking the drug, leaving 46 women (63%) willing to take drug therapy. Thirteen women were scheduled for a TVT with concurrent prolapse surgery, and 1 of these women decided that she no longer needed the surgery. Eight of the 33(24%) women scheduled for a TVT without concurrent prolapse surgery came off the waiting list. Nine women of the 33 women scheduled for a TVT without concurrent surgery (27%) found that the medication did not work sufficiently well. Sixteen of the 33 women (48%) discontinued medication due to side-effects. Women on a waiting list for surgery may be unwilling to take duloxetine therapy and less tolerant of side-effects.
Similar content being viewed by others
References
Hampel C, Weinhold D, Benken N, Eggersmann C, Thuroff JW (1997) Definition of overactive bladder and epidemiology of urinary incontinence. Urology 50:4–14
Bymaster FP, Dreshfiel-Ahmad LJ, Threlkeld PG et al (2001) Comparative affinity of duloxetine and venlafaxine for serotonin and norepinephrine transporters in vitro and in vivo, human serotonin receptor subtypes, and other neuronal receptors. Neuropsychopharmacology 25:871–880
Van Kerrebroeck P, Abrams P, Lange R et al (2004) Duloxetine versus placebo in the treatment of European and Canadian women with stress urinary incontinence. Br J Obstet Gynaecol 11:249–257
Millard RJ, Moore K, Reneken R et al (2004) Duloxetine vs placebo in the treatment of stress urinary incontinence: a four-continent randomised clinical trial. BJU Int 93:311–318
Dmochowski RR, Miklos JR, Norton PA et al (2004) Duloxetine versus placebo for the treatment of North American women with stress urinary incontinence. J Urol 170:1259–1263
Norton PA, Zinner NR, Yalcin I, Bump RC (2002) Duloxetine versus placebo in the treatment of stress urinary incontinence. Am J Obstet Gynecol 187:40–48
Bump RC, Norton PA, Zinner NR, Yalcin I (2003) Mixed urinary incontinence symptoms: urodynamic findings incontinence severity, and treatment response. Obstet Gynecol 102:76–83
Cardozo L, Drutz HP, Baygani SK, Bump RC (2004) Pharmacological treatment of women awaiting surgery for stress incontinence. Obstet Gynecol 104:511–519
Yalcin I, Bump RC (2003) Validation of two global impression questionnaires for incontinence. Am J Obstet Gynecol 189:98–101
Gurwitz JH, Sykora K, Mamdani M et al (2005) Readers guide to critical appraisal of cohort studies: 1. Role and design. BMJ 330:895–897
Ward K, Hilton P (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325:67–70
Acknowledgements
The authors would like to thank Dr. M. Brand (Research Co-ordinator), Maria Eaton (Urogynaecology Nurse Practitioner) for their help in producing this paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Duckett, J.R.A., Aggarwal, I. & Patil, A. Duloxetine treatment for women awaiting continence surgery. Int Urogynecol J 17, 563–565 (2006). https://doi.org/10.1007/s00192-005-0063-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-005-0063-9