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Intravesical oxybutynin affects bladder permeability

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Abstract

To investigate the effects of intravesical application of oxybutynin chloride on bladder permeability we designed an animal model. Female Guinea pigs were given 3 different test solutions; phosphate buffered saline (PBS), 50% acetone and 1.27 × 10−2 M oxybutynin chloride solution. Then 99mTc-DTPA 45 μCi in 2 ml normal saline was instilled into the bladder lumen in each animals and allowed to dwell for 30 minutes. At the end of exposure time, the net count data in each 1 ml serum sample were corrected for radioactive decay and converted to the total percentage of administered dose. 99mTc-DTPA absorption percentages of both acetone and oxybutynin groups were significantly higher than that of PBS group (mean 3.2 ± 2.9% p < 0.001). Intravesical oxybutynin application increases bladder permeability 5 times compared with PBS administration. This observation can also explain how rapid absorption of oxybutynin through the bladder into the systemic circulation occurs.

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References

  1. Kaplinsky R, Greenfield S, Wan J, Fera M. Expanded followup of intravesical oxybutynin chloride use in children with neurogenic bladder. J Urol 1996; 156: 753–756.

    Article  PubMed  CAS  Google Scholar 

  2. Greenfield SP, Fera M. The use of intravesical oxybutynin chloride in children in neurogenic bladder. J Urol 1991; 146: 532–534.

    PubMed  CAS  Google Scholar 

  3. Mohler JL. Relaxation of intestinal bladders by intravesical oxybutynin chloride. Neurourol Urodynam 1990; 9: 179–181.

    CAS  Google Scholar 

  4. Madersbacher H, Jilg G. Control of detrusor hyperreflexia by the intravesical instillation of oxybutynin hydrochloride. Paraplegia 1991; 29: 84–87.

    PubMed  CAS  Google Scholar 

  5. Massad CA, Kogan BA, Trigo-Rocha FE. The pharmacokinetics of intravesical and oral oxybutynin chloride. J Urol 1992: 148: 595–597.

    PubMed  CAS  Google Scholar 

  6. Parsons CL et al. Bladder surface glycosaminoglycans: An epithelial permeability barrier. J Urol 1990; 143: 139–142.

    PubMed  CAS  Google Scholar 

  7. Tzan CH, Berg J, Lewis SA. Effect of protamine sulfate on the permeability properties of the mammalian urinary bladder. J Membr Biol 1993; 133: 227–232.

    PubMed  CAS  Google Scholar 

  8. Chelsky MJ et al. Bladder permeability in interstitial cystitis is similar to that of normal volunteers: Direct measurement by transvesical absorption of 99mTechnetiumdiethyl-enetriaminepentaacetic acid J Urol 1994; 151: 346–349.

    PubMed  CAS  Google Scholar 

  9. Bonney WW, Robinson RA, Theobald RJ. Topical effect of intravesical oxybutynin. J Urol 1993; 150: 1522–1525.

    PubMed  CAS  Google Scholar 

  10. Landau EH et al. Histologic studies of intravesical oxybutynin in the rabbit. J Urol 1995; 153: 2022–2024.

    Article  PubMed  CAS  Google Scholar 

  11. Amark P, Bussman G, Eksborg S. Follow-up of long-time treatment with intravesical oxybutynin for neurogenic bladder in children. Eur Urol 1998; 34: 148–153.

    Article  PubMed  CAS  Google Scholar 

  12. Teruo M, Watanabe H, Kobayashi T. Absorption of anti-cancer drug through bladder epithelium. Urology 1986; 27: 148–151.

    Article  Google Scholar 

  13. Parsons CL, Greenspan C, Mulholland S. The primary antibacterial defense mechanism. Invest Urol 1975; 13: 72–74.

    Article  PubMed  CAS  Google Scholar 

  14. Tzan CJ, Berg J, Lewis SA. Mammalian urinary bladder permeability is altered by cationic proteins: Modulation by divalent cations. Am J Physiol, 267: 1013–1026.

  15. Stein PC et al. Bladder injury model induced in rats by exposure to protamine sulfate followed by bacterial endotoxin. J Urol 1996; 155: 1133–1026.

    Article  PubMed  CAS  Google Scholar 

  16. Nickel JC et al. Relative efficacy of various exogenous glycosaminoglycans in providing a bladder surface permeability barrier. J Urol 1998; 160: 612–614.

    Article  PubMed  CAS  Google Scholar 

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Ersay, A., Demirtas, O.C. Intravesical oxybutynin affects bladder permeability. Int Urol Nephrol 32, 359–361 (2001). https://doi.org/10.1023/A:1017595401988

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  • DOI: https://doi.org/10.1023/A:1017595401988

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