Li Jiang , Liu Shang , Chen Wei Kang , Zhang Wei , Fang Ke Wei . The Effectiveness and Safety of Celecoxib in Treatment of Female Stress Urinary Incontinence[J]. Journal of Kunming Medical University, 2017, 38(01): 70-74.
Citation: Li Jiang , Liu Shang , Chen Wei Kang , Zhang Wei , Fang Ke Wei . The Effectiveness and Safety of Celecoxib in Treatment of Female Stress Urinary Incontinence[J]. Journal of Kunming Medical University, 2017, 38(01): 70-74.

The Effectiveness and Safety of Celecoxib in Treatment of Female Stress Urinary Incontinence

Funds:

基金: 云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2015FA007); 昆明医科大学科技创新团队建设基金资助项目 (CXTD201618) ;昆明医科大学研究生创新基金资助项目 (2016s104);

  • Received Date: 2016-10-20
  • Objective To explore the effectiveness, safety and the possible mechanism of Celecoxib Capsules (Celebrex) in treatment of female stress urinary incontinence.Methods From January 2014 to December 2015, 80 female patients with stress urinary incontinence, from the outpatient department of our hospital, were selected in experimental group, who took celecoxib orally 200 mg, Bid for 3 months.The other 80 female patients with stress urinary incontinence were selected in control group, who took placebo (medical starch) orally 1 piece, Bid for 3 months.The two groups of patients were treated with behavioral therapy and functional exercise of pelvic floor.Both groups of patients were assessed with the urine pad test and quality of life scale 3months later.The study was approved by the Institutional Review Board of the second Hospital of Kunming Medical University and followed the principles expressed in the Declaration of Helsinki.The written informed consent was obtained from every patient.Results The difference between the experimental group and the control group in the age, the course of disease had no statistical significance (P>0.05) .The effectiveness of experimental goup was better than the controlled group.The urine volume in experimental group is less than that in control group in urine pad test.And the score of experimental goup in QOL-36-SF was higher than that of control group both in physical dimension and the psychological dimension.The overall effective rate was 96.3% in experimental group [21 (26.3%) cases were improved markedly, 56 (70%) patients improved, 3 (3.8%) patients was failed] and88.6% in control group [15 (18.8%) cases were improved markedly, 56 (70%) patients improved, 3 (3.8%) patients was failed].Tthe difference has statistical significance (P<0.05) .No obvious side effects were observed in both groups and no one stooped the treatment by herself.Conclusion Celecoxib can attenuate the symptoms of female stress urinary incontinence, and has the good safety and tolerability.
  • loading
  • [1]
    [1]HAYLEN B T, DE RIDDER D, FREEMAN R M, et al.An International Urogynecological Association (IUGA) /International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction[J].International Urogynecology Journal, 2010, 21 (1) :5-26.
    [2]高继学, 贺晓龙, 李义, 等.延安市女性压力性尿失禁流行病学调查分析[J].昆明医科大学学报, 2015, 36 (4) :31-33.
    [3]方克伟, 刘晋宏.女性UI及POP的流行病学研究进展[J].国际泌尿系统杂志, 2011, 31 (4) :501-504.
    [4]
    [4]DMOCHOWSKI R R, BLAIVAS J M, GORMLEY E A, et al.Update of AUA guideline on the surgical management of female stress urinary incontinence[J].Journal of Urology, 2010, 183 (5) :1906-1914.
    [5]
    [5]MALALLAH M A, ALSHAIJI T F.Pharmacological treatment of pure stress urinary incontinence:A narrative review[J].International Urogynecology Journal, 2015, 26 (4) :477-485.
    [6]杨智明.压力性尿失禁大鼠模型的建立及NOS、COX2、P38的检测[D].昆明:昆明医科大学硕士学位论文, 2015.
    [7]张磊, 徐德忠, 黄久仪, 等.SF-36量表中文版的应用及分级截断点选择的研究[J].中华流行病学杂态, 2004, 25 (1) :69-73.
    [8]郝明, 善辉.压力尿失禁解剖学发生机制的研究进展[J].2012, 25 (1) :97-99.
    [9]
    [9]MARENTETTE J O, HURST R E, MCHOWAT J.Impaired expression of prostaglandin E2 (PGE2) synthesis and degradation enzymes during differentiation of immortalized urothelial cells from patients with interstitial cystitis/painful bladder syndrome[J].PLo S One, 2015, 10 (5) :e129466.
    [10]
    [10]RAHNAMA IMS, KOEVERINGE GAV, KERREBROECK PEV, et al.The effect of indomethacin on the muscarinic induced contractions in the isolated normal guinea pig urinary bladder[J].BMC Urology, 2013, 13 (1) :1-9.
    [11]
    [11]JUAN Y S, LEE Y L, LONG C Y, et al.Translocation of NF-κB and Expression of Cyclooxygenase-2 Are Enhanced by Ketamine-Induced Ulcerative Cystitis in Rat Bladder[J].European Urology Supplements, 2015, 185 (8) :2269-2285.
    [12]
    [12]RIBEIRO ASF, FERNANDES V S, MART I NEZ M P, et al.Neuronal and Non-Neuronal Bradykinin Receptors Are Involved in the Contraction and/or Relaxation to the Pig Bladder Neck Smooth Muscle[J].Neurourology and Urodynamics, 2014, 33 (5) :558-565.
    [13]
    [13]TANAKA I, NAGASE K, TANASE K, et al.Improvement in neurogenic detrusor overactivity by peripheral C fiber's suppression with cyclooxygenase inhibitors[J].Journal of Urology, 2010, 183 (183) :786-792.
    [14]
    [14]YIP C, KWOK E, SASSANI F, et al.A biomechanical model to assess the contribution of pelvic musculature weakness to the development of stress urinary incontinence[J].Computer Methods in Biomechanics&Biomedical Engineering, 2014, 17 (2) :163-176.
    [15]
    [15]YOSHIMURA N, KAIHO Y, MIYAZATO M, et al.Therapeutic receptor targets for lower urinary tract dysfunction[J].Naunyn-Schmiedeberg's Archives of Pharmacology, 2008, 377 (4) :437-448.
    [16]
    [16]WEINHOLD P, GRATZKE C T, STIEF C, et al.TRPA1receptor induced relaxation of the human urethra involves TRPV1 and cannabinoid receptor mediated signals, and cyclooxygenase activation[J].Journal of Urology, 2010, 183 (5) :2070-2076.
    [17]
    [17]REILLY C A, JOHANSEN M E, LANZA D L, et al.Calcium-dependent and independent mechanisms of capsaicin receptor (TRPV1) -mediated cytokine production and cell death in human bronchial epithelial cells[J].Journal of Biochemical&Molecular Toxicology, 2005, 19 (4) :266-275.
    [18]
    [18]TANG H B, LI Y S, MIYANO K, et al.Phosphorylation of TRPV1 by neurokinin-1 receptor agonist exaggerates the capsaicin-mediated substance P release from cultured rat dorsal root ganglion neurons[J].Neuropharmacology, 2008, 55 (8) :1405-1411.
    [19]
    [19]NORREGAARD R, JENSEN B L, TOPCU S O, et al.Cyclooxygenase type 2 is increased in obstructed rat and human ureter and contributes to pelvic pressure increase after obstruction[J].Kidney International, 2006, 70 (5) :872-881.
    [20]李江, 方克伟.骨骼肌卫星细胞成肌化机制研究进展[J].医学研究生学报, 2016, 29 (9) :999-1003.
    [21]
    [21]BEAULIEU D, THEBAULT P, PELLETIER R, et al.Abnormal prostaglandin E2 production blocks myogenic differentiation in myotonic dystrophy[J].Neurobiology of Disease, 2012, 45 (1) :122-129.
    [22]
    [22]GUERCI A, LAHOUTE C, HEBRARD S, et al.Srf-Dependent Paracrine Signals Produced by Myofibers Control Satellite Cell-Mediated Skeletal Muscle Hypertrophy[J].Cell Metabolism, 2012, 15 (1) :25-37.
  • Relative Articles

    [1] Jun XIE, Shaoyou LIU, Hongjin SHI, Qiuyu MAO, Hong YANG. Enhanceing Effect of EZH2 Inhibitors in Combination with GC Chemotherapeutic Agents in Bladder Cancer. Journal of Kunming Medical University, 2023, 44(10): 67-76.  doi: 10.12259/j.issn.2095-610X.S20231017
    [2] Danhong DONG, Weiwen WANG, Dexia LI, Jun YANG, Na LI, Hang MA, Lin LI. Current Status of Drug Treatment for Chronic Heart Failure Patients With Reduced Ejection Fraction in Yunnan: a Single-center Survey. Journal of Kunming Medical University, 2023, 44(8): 77-84.  doi: 10.12259/j.issn.2095-610X.S20230822
    [3] Xinghui CHEN, Zhuwei GAO, Guangbin ZHANG, Junjing HE, Yaru NIU, Lisha MA. Analysis of the Efficacy of Radiofrequency Treatment for Anterior Vaginal Wall Prolapse with Stress Urinary Incontinence. Journal of Kunming Medical University, 2022, 43(10): 127-130.  doi: 10.12259/j.issn.2095-610X.S20221004
    [4] Meng Chun Mei , Yuan Tao , Zhang Yi Feng , Ma Yong Hong , Ye Ke Fan , Wu Xiao Mei , Zi Rong . . Journal of Kunming Medical University, 2020, 41(07): 85-88.
    [5] Lin Yi Lin , Zhang Hong , Ding Xiao Xue . . Journal of Kunming Medical University, 2019, 40(05): 1-4.
    [6] Zhang Jian Hua , Shen Zheng Chao , Chen Yin , Gu Peng , Zhao Hui , Shen Ji Hong , Ke Kun Bin . . Journal of Kunming Medical University, 2019, 40(11): 112-115.
    [7] Li Qin , Jiang Li Li , Shi Hui Yun , Li Chun Mei , Li Jun , Hu Yan Li . . Journal of Kunming Medical University, 2019, 40(06): 85-89.
    [8] Peng Xin Kan , Zhang Yan Ping , Huang Rong Fang , Gao Ran , Yang Wen Juan . Effects of Bio-feedback and Pelvic Electric Stimulation on Stress Urinary Incontinence. Journal of Kunming Medical University, 2016, 37(11): 97-100.
    [9] Tang Ai Qun . . Journal of Kunming Medical University,
    [10] Yuan Hua Yuan . . Journal of Kunming Medical University,
    [11] Gao Ji Xue . . Journal of Kunming Medical University,
    [12] Wang Xing Ning . . Journal of Kunming Medical University,
    [13] Cao Shao Dang . . Journal of Kunming Medical University,
    [14] Gu Wan Gang . . Journal of Kunming Medical University,
    [15] Gu Wan Gang . . Journal of Kunming Medical University,
    [16] Hao Ying Lu . . Journal of Kunming Medical University,
    [17] . . Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] . Clinical Analysis of Trichosanthin Combined with Traditional Chinese Medicine in Treatment of Ectopic Pregnancy. Journal of Kunming Medical University,
    [20] . Analysis of Reproductive Outcome after Different Management Strategies for Tubal Pregnancy. Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1701) PDF downloads(137) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return