Skip to main content

Advertisement

Log in

Continued symptom improvement in sexually active women with overactive bladder and urgency urinary incontinence treated with tolterodine ER for 6 months

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Improvements in overactive bladder (OAB) symptoms and health-related quality of life (HRQL) were assessed during a 24-week study of tolterodine extended release (TOL ER) in sexually active women with OAB and urgency urinary incontinence (UUI). A 12-week, double-blind, randomized, placebo-controlled trial was followed by a 12-week open-label phase. Sexually active women reported symptoms for ≥3 months. Subjects completed bladder diaries and HRQL measures at baseline and weeks 12 and 24. One hundred sixty-one women received TOL ER for 24 weeks. Women reported significant improvements in all end points at week 12 that were maintained or improved at 24 weeks. At week 24, 70% of subjects reported no UUI episodes. TOL ER resulted in improvements in OAB symptoms and HRQL that were maintained or greater with 6 months of use. Long-term compliance with OAB pharmacotherapy may be important for optimal treatment outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abrams P, Artibani W, Cardozo L, Dmochowski R, van Kerrebroeck P, Sand P (2006) Reviewing the ICS 2002 terminology report: the ongoing debate. Neurourol Urodyn 25:293

    Article  Google Scholar 

  2. Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R, Hunt TL, Wein A (2003) Prevalence and burden of overactive bladder in the United States. World J Urol 20:327–336

    PubMed  CAS  Google Scholar 

  3. Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, Coyne K, Kelleher C, Hampel C, Artibani W, Abrams P (2006) Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 50:1306–1315

    Article  PubMed  Google Scholar 

  4. Abrams P, Kellecher CJ, Kerr LA, Rogers RG (2000) Overactive bladder significantly affects quality of life. Am J Manag Care 6:S580–S590

    PubMed  CAS  Google Scholar 

  5. Coyne KS, Margolis MK, Jumadilova Z, Bavendam T, Mueller E, Rogers R (2007) Overactive bladder and women’s sexual health: what is the impact? J Sex Med 4:656–666

    Article  PubMed  Google Scholar 

  6. Van Kerrebroeck P, Kreder K, Jonas U et al (2001) Tolterodine once-daily: superior efficacy and tolerability in the treatment of the overactive bladder. Urology 57:414–421

    Article  PubMed  Google Scholar 

  7. Rogers R, Bachmann G, Jumadilova Z, Sun F, Morrow JD, Guan Z, Bavendam T (2008) Efficacy of tolterodine on overactive bladder symptoms and sexual and emotional quality of life in sexually active women. Int J Urogynecol Pelvic Floor Dysfunct 19:1551–1557

    Google Scholar 

  8. Kreder K, Mayne C, Jonas U (2002) Long-term tolerability and efficacy and extended-release tolterodine in the treatment of overactive bladder. Eur Urol 41:588–595

    Article  PubMed  CAS  Google Scholar 

  9. Kelleher CJ, Kreder KJ, Pleil AM et al (2002) Long-term health-related quality of life of patients receiving extended-release tolterodine for overactive bladder. Am J Manag Care 8:S616–S630

    PubMed  Google Scholar 

  10. Coyne KS, Matza LS, Kopp Z et al (2006) The validation of the Patient Perception of Bladder Condition (PPBC): a single-item global measure for patients with overactive bladder. Eur Urol 49:1079–1086

    Article  PubMed  Google Scholar 

  11. Coyne K, Revicki D, Hunt T et al (2002) Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res 11:563–574

    Article  PubMed  CAS  Google Scholar 

  12. Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C (2001) A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. Am J Obstet Gynecol 184:552–558

    Article  PubMed  CAS  Google Scholar 

  13. Symonds T, Boolell M, Quirk F (2005) Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther 31:385–397

    Article  PubMed  Google Scholar 

  14. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  PubMed  CAS  Google Scholar 

  15. Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Olsen A, Barber M, Qualls C (2006) Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multi-center prospective study. Am J Obstet Gynecol Nov 195(5):e1–4

    Article  Google Scholar 

  16. Baessler K, Stanton SL (2004) Does Burch colposuspension cure coital incontinence? Am J Obstet Gynecol 190:1030–1033

    Article  PubMed  Google Scholar 

  17. D’Souza AO, Smith MJ, Miller LA, Doyle J, Ariely R (2008) Persistence, adherence and switch rates among extended release overactive bladder medications in a regional managed care plan. J Manag Care Pharm 14(3):291–301

    PubMed  Google Scholar 

  18. Basra RK, Wagg A, Chapple C, Cardozo L, Castro-Diaz D, Pons ME et al (2008) A review of adherence to drug therapy in patients with overactive bladder. BJU Int 102:774–779

    Article  PubMed  Google Scholar 

  19. Ouslander JG, Shih YT, Malone-Lee J, Luber K (2000) Overactive bladder: special considerations in the geriatric population. Am J Manag Care 6(11):S599–S606

    PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This study was funded by Pfizer Inc.

Conflicts of interest

Gloria Bachmann: Grant/Research Support: Astellas, Wyeth, Bayer, Duramed, Pfizer, Boehringer-Ingelheim, Roche, Merck, QuatRx, Bionovo, Glaxo Smith Kline, Femme Pharma, Hormos, Covance, Novartis, Johnson & Johnson, Boston Scientific, Novonordisk, Procter & Gamble, Xanodyne Consultant: Astellas, Wyeth, Bayer, Duramed, Pfizer, Boehringer-Ingelheim, Roche, Merck, QuatRx, Bionovo, Glaxo Smith Kline, Femme Pharma, Hormos, Covance, Novartis, Johnson & Johnson, Boston Scientific, Novonordisk, Proctor & Gamble, Xanodyne; R Rogers is a consultant, on the speaker’s bureau and has research funding from Pfizer; J Morrow and F Sun are employees of Pfizer. T Omotosho has grant support from Pfizer.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rebecca G. Rogers.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rogers, R.G., Omotosho, T., Bachmann, G. et al. Continued symptom improvement in sexually active women with overactive bladder and urgency urinary incontinence treated with tolterodine ER for 6 months. Int Urogynecol J 20, 381–385 (2009). https://doi.org/10.1007/s00192-008-0782-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-008-0782-9

Keywords

Navigation