This website is for UK Healthcare Professionals only

+30 YEARS' GLOBAL EXPERIENCE
ACROSS MULTIPLE INDICATIONS1-4

 

UROLOGY

BOTOX® is indicated for the management of bladder dysfunctions in adult patients who are not adequately managed with anticholinergics: overactive bladder with symptoms of urinary incontinence, urgency and frequency.5

+30 YEARS' GLOBAL EXPERIENCE ACROSS MULTIPLE INDICATIONS1-4

UROLOGY

BOTOX® is indicated for the management of bladder dysfunctions in adult patients who are not adequately managed with anticholinergics: overactive bladder with symptoms of urinary incontinence, urgency and frequency.5

The Patient Experience: Overactive bladder (OAB) can impact on patients' quality of life in many ways

Definition of OAB: OAB is characterised by urinary urgency, with or without urgency urinary incontinence, usually with increased daytime frequency and nocturia6,7

URINARY INCONTINENCE (UI):

  • urgency UI:7 involuntary leakage accompanied by urgency
  • stress UI:7 involuntary leakage on effort or exertion, or on sneezing or coughing
  • mixed UI:7 involuntary leakage associated with urgency and also with exertion, effort, sneezing or coughing

URINARY INCONTINENCE (UI):

  • urgency UI:7 involuntary leakage accompanied by urgency
  • stress UI:7 involuntary leakage on effort or exertion, or on sneezing or coughing
  • mixed UI:7 involuntary leakage associated with urgency and also with exertion, effort, sneezing or coughing

The impacts of OAB on patient quality of life are manifold8-16


Impact of OAB on daily living

2 out of 3 patients report that their symptoms affect their daily life17

*CES-D: Center for Epidemiological Studies – Depression. The CES-D is a self-reported depression scale including 20 items, developed to identify depression-related symptoms. Scores range from 0 to 60, with higher scores relating to more depression-related symptoms, and scores of 16 or over indicating depression.14


CES-D: Center for Epidemiological Studies - Depression; OAB: overactive bladder; UI: urinary incontinence.

 

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora S K, Winner P et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache. 2011;51(9):1358-1373
  3. Blumenfeld A M, Stark R J et al. Long-term study of the efficacy and safety of onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain. 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk/emc/product/859/smpc. Accessed April 2024.
  6. Abrams P, Cardozo L et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-178
  7. Milsom I. Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal (AI) incontinence. Abrams P et al. Incontinence: 6th edition. 2017:50
  8. Tubaro A. Defining overactive bladder: epidemiology and burden of disease. Urology. 2004;64(6 Suppl 1):2-6
  9. Coyne K S, Payne C et al. The impact of urinary urgency and frequency on health-related quality of life in overactive bladder: results from a national community survey. Value Health. 2004;7(4):455-463
  10. Abrams P, Kelleher C J et al. Overactive bladder significantly affects quality of life. Am J Manag Care. 2000;6(11 Suppl):S580-590
  11. Du Moulin M F, Hamers J P et al. Prevalence of urinary incontinence among community-dwelling adults receiving home care. Res Nurs Health. 2008;31(6):604-612
  12. Zorn B H, Montgomery H et al. Urinary incontinence and depression. J Urol. 1999;162(1):82-84
  13. Irwin D E, Milsom I et al. Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU Int. 2006;97(1):96-100
  14. Stewart W F, Van Rooyen J B et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20(6):327-336
  15. Papanicolaou S, Hunskaar S et al. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU Int. 2005;96(6):831-838
  16. Rigby D. Urinary urge incontinence: causes and management strategies. Br J Community Nurs. 2005;10(4):172, 174-178
  17. Milsom I, Abrams P et al. How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int. 2001;87(9):760-766
  18. Temml C, Haidinger G et al. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn. 2000;19(3):259-271

 

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora S K, Winner P et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache. 2011;51(9):1358-1373
  3. Blumenfeld A M, Stark R J et al. Long-term study of the efficacy and safety of onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain. 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk /emc/product/859/smpc. Accessed April 2024.
  6. Abrams P, Cardozo L et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-178
  7. Milsom I. Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal (AI) incontinence. Abrams P et al. Incontinence: 6th edition. 2017:50
  8. Tubaro A. Defining overactive bladder: epidemiology and burden of disease. Urology. 2004;64(6 Suppl 1):2-6
  9. Coyne K S, Payne C et al. The impact of urinary urgency and frequency on health-related quality of life in overactive bladder: results from a national community survey. Value Health. 2004;7(4):455-463
  10. Abrams P, Kelleher C J et al. Overactive bladder significantly affects quality of life. Am J Manag Care. 2000;6(11 Suppl):S580-590
  11. Du Moulin M F, Hamers J P et al. Prevalence of urinary incontinence among community-dwelling adults receiving home care. Res Nurs Health. 2008;31(6):604-612
  12. Zorn B H, Montgomery H et al. Urinary incontinence and depression. J Urol. 1999;162(1):82-84
  13. Irwin D E, Milsom I et al. Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU Int. 2006;97(1):96-100
  14. Stewart W F, Van Rooyen J B et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20(6):327-336
  15. Papanicolaou S, Hunskaar S et al. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU Int. 2005;96(6):831-838
  16. Rigby D. Urinary urge incontinence: causes and management strategies. Br J Community Nurs. 2005;10(4):172, 174-178
  17. Milsom I, Abrams P et al. How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int. 2001;87(9):760-766
  18. Temml C, Haidinger G et al. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn. 2000;19(3):259-271

Please refer to the BOTOX® Summary of Product Characteristics for further information on adverse events, contraindications and special warnings and precautions for use.

 

Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk/

Adverse events should also be reported to AbbVie on GBPV@abbvie.com

 

Date of preparation: April 2024. UK-BUO-240022.