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     <dc:title xml:lang="fr">L'incontinence urinaire: traitements actuels à l'officine et intérêt du mirabégron (Betmiga©)</dc:title>
     <dcterms:alternative xml:lang="en">Urinary incontinence : current treatments at the pharmacy and interest of mirabegron (Betmiga©)</dcterms:alternative>
     <dc:subject xml:lang="fr">Incontinence</dc:subject><dc:subject xml:lang="fr">médicaments anticholinergiques muscariniques</dc:subject><dc:subject xml:lang="fr">mirabégron </dc:subject><tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027624951">Incontinence urinaire</tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeSujet" autoriteExterne="027589838">Thérapeutique</tef:subdivision><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeForme" autoriteExterne="027253139">Thèses et écrits académiques</tef:subdivision>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="068917422">Anticholinergiques</tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeForme" autoriteExterne="027253139">Thèses et écrits académiques</tef:subdivision>
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     <dcterms:abstract xml:lang="fr">L'incontinence urinaire est une pathologie fréquente mais dont les patients n'osent pas parler. Des causes variées telles que le surpoids ou les suites de cancer au niveau pelvien existent. Le pharmacien doit encourager les personnes atteintes de ce trouble très gênant a consulter un médecin. Il doit aussi donner des conseils d'éducation thérapeutique (concernant l'alimentation, le sport, les médicaments ...) qui peuvent diminuer l'importance de l'incontinence. Il existe des traitements non invasifs comme la rééducation périnéale ou invasifs comme la chirurgie (bandelettes urétrales...). Les traitements pharmacologiques sont fréquemment prescrits mais leur efficacité est modérée et leurs effets indésirables (de type anticholinergique) sont nombreux. Le mirabégron, un  médicament au nouveau mécanisme d'action, a été développé et offre une alternative thérapeutique aux patients incontinents.  </dcterms:abstract>
     <dcterms:abstract xml:lang="en">Urinary incontinence is a common condition but patients do not dare to speak about it. Various causes such as being overweight or consequences of cancer in the pelvic area exist. The pharmacist must encourage people with this very annoying disorder to consult a doctor. He must also provide therapeutic educational advice (for food, sport, medications...) that may diminish the importance of incontinence. There are non-invasive treatments such as perineal re-education or invasive therapy such as surgery (urethral strips...). Pharmacological treatments are often prescribed, but their efficacy is moderate and adverse events (anticholinergic type) are numerous. The mirabegron, a novel mechanism of action drug has been developed and offers a therapeutic alternative to patients with incontinence</dcterms:abstract>
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       <tef:prenom>Marion</tef:prenom>
       
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