Botulinum toxin A [91] |
|
Upper urinary tract protection, modulation of detrusor overactivity and detrusor external sphincter dyssynergia |
Injections into detrusor and external urethral sphincter in humans with suprasacral and sacral injuries |
Imidafenacin [92] |
Anticholinergics selective for the urinary bladder, detrusor pressure reduction and cystometric volume increase |
Urodynamic effects with possibly alleviation of bladder complication |
Injections in patients with SCI and low cystometric volume and/or detrusor compliance |
Inosine [93] |
antioxidant by peroxynitrite disattivation, anti-inflammatory, axogenic and neurotrophic properties |
Modulation of detrusor overactivity, decrease of non-voiding contraction (NVC), decrease TRPV1 in bladder tissue |
Intraperitoneal injection in rat with NVC immediately after SCI |
Mirabegron [94] |
β-3 agonist |
Urodynamic improvement |
Administered in patients with neurogenic detrusor overactivity (NDO) after SCI |
Naftopidil/BMY7378/Silodosin (α-adrenoceptor blockers) [95] |
α-adrenoceptor blockade |
Reduction of urethral resistance, voiding efficiency improvement by external urethral sphincter-electromyography(EMG) |
Intravenous injection in rat with chronic SCI |
Propiverine (antimuscarinic agent) [96] |
Antagonism against muscarinic receptor, L-type Ca2+ channels and transient receptor potential vanilloid subtype 1 (TRPV1) |
Amelioration of urinary tract dysfunctions and reduction of detrusor overactivity |
Administered to rats with SCI and non-voiding contraction (NVC) |