Evaluation of the efficacy of Vesusten in the treatment of urge urinary incontinence in menopausal and postmenopausal women

Mazitova M.I., Faustova K.V., Antropova E.Yu., Mardieva R.R.

1) Kazan State Medical Academy, Ministry of Health of Russia, Kazan, Russia; 2) Institute of Health and Longevity Clinic, Kazan, Russia

Objective: To evaluate the efficacy of Vesusten in the treatment of urge urinary incontinence in menopausal and postmenopausal women. 
Materials and methods: The study included 52 women aged 47 to 56 years. Vesusten was used for the treatment of urge urinary incontinence 3 times a week at a dose of 5 mg intramuscularly (a total of 10 injections). The PPIUS, TUFS scales were used to assess the severity of urge symptoms, and the OAB-q questionnaire was used to assess the patients’ concern about urge symptoms.
Results: Vesusten had a strong positive effect in the form of a decrease in the total urinary frequency scores and severity of urinary urgency on the TUFS scale in all respondents by the 2nd visit; the number of scores continued to decrease by visit 3 (4 weeks after the end of therapy). The daily number of episodes of urge urinary incontinence decreased in 32 study participants (61.5%) to an average of 3.9±1.1 by the 2nd visit and 1.6±2.4 by the 3rd visit, compared with a baseline of 7.1±0.9 episodes. The average PPIUS score at baseline was 3.1 (strong urges with inability to postpone urination). After completion of therapy, the average score decreased to 1.8 at visit 2 (mild to moderate urges) and 0.9 at visit 3 (weak urges). There was a significant decrease in the patients’ concern about overactive bladder symptoms on the OAB-q questionnaire from 66.7 scores at baseline to 16.4 scores by visit 3. No serious adverse events were identified during the study.
Conclusion: Vesusten has a positive effect on urge urinary incontinence in women as it reduces the severity and number of episodes of urge urinary incontinence, as well as patients’ concern about overactive bladder.

Authors’ contributions: Mazitova M.I., Faustova K.V., Antropova E.Yu., Mardieva R.R. – developing the concept and design of the study; Mazitova M.I., Faustova K.V., Antropova E.Yu., Mardieva R.R. – collecting and processing the material; Faustova K.V., Mardieva R.R. – statistical data processing; Faustova K.V., Mazitova M.I. – writing the text; Mazitova M.I., Antropova E.Yu. – editing the article.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was carried out without sponsorship.
Patient Consent for Publication: The patients provided an informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Mazitova M.I., Faustova K.V., Antropova E.Yu., Mardieva R.R. Evaluation of the efficacy of Vesusten in the treatment of urge urinary incontinence in menopausal and postmenopausal women.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (9): 149-154 (in Russian)
https://dx.doi.org/10.18565/aig.2024.222

Keywords

urge urinary incontinence
overactive bladder
peptides

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Received 04.09.2024

Accepted 19.09.2024

About the Authors

Madina I. Mazitova, Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology, Kazan State Medical Academy, 420012, Russia, Republic of Tatarstan, Kazan, Mushtari str., 11; obstetrician-gynecologist, Clinic «Institute of Health and Longevity», 420111, Russia, Kazan, Kirov lane, 2A, madina13@list.ru,
https://orcid.org/0000-0002-9608-2076
Karina V. Faustova, obstetrician-gynecologist, Clinic «Institute of Health and Longevity», 420111, Russia, Kazan, Kirov lane, 2A, +7(918)960-86-68, faustova_rina@mail.ru, https://orcid.org/0000-0001-8702-0159
Elena Y. Antropova, PhD, Associate Professor at the Department of Obstetrics and Gynecology, Kazan State Medical Academy, 420012, Russia, Republic of Tatarstan,
Kazan, Mushtari str., 11; obstetrician-gynecologist, Clinic «Institute of Health and Longevity», 420111, Russia, Kazan, Kirov lane, 2A, +7(903)344-01-32, antropoval@mail.ru,
https://orcid.org/0000-0002-5991-5163
Rezeda R. Mardieva, Teaching Assistant at the Department of Obstetrics and Gynecology, Kazan State Medical Academy, 420012, Russia, Republic of Tatarstan, Kazan, Mushtari str., 11; obstetrician-gynecologist, City Clinical Hospital No. 7 named after M.N. Sadykov, Russia, Kazan; obstetrician-gynecologist,
Clinic «Institute of Health and Longevity», 420111, Russia, Kazan, Kirov lane, 2A, rezedamardieva@gmail.com, https://orcid.org/0000-0003-2568-0121

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