title: Can Dopamine Depletion at DAT Scan in a Non Parkinson Patient be the Cause a Refractory Overactive Bladder?
abstract: We report here the first case of treatment of idiopathic refractory overactive bladder with dopamine. A female patient consulted for urge incontinence. Management included all recommended treatments without success. DAT scan was finally performed showing clear reduction in dopamine secretion without diagnosis of any neurological condition. Patient started dopamine treatment. At 1 month, patient described persistence of mild urgency and frequency but complete resolution of urge incontinence. At 3 months patient was completely dry with only persistence of mild frequency. Functional imaging and central nervous system target might represent new ways of managing idiopathic overactive bladder.
authors.affiliation: Division of Urology, Geneva University Hospital, Geneva, Switzerland.
authors.forename: J
authors.initials: J
authors.lastname: Renard
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Citeri
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Zanollo
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Guerrer
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Rizzato
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Frediani
authors.affiliation: Division of Urology, Geneva University Hospital, Geneva, Switzerland.
authors.forename: C E
authors.initials: CE
authors.lastname: Iselin
authors.affiliation: Spinal Unit, A. Zanollo Center for Sacral Area Dysfunctions, Niguarda Hospital, Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Spinelli
keywords: Functional imaging; Incontinence; Overactive bladder; Urgency