Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis

Objectives: Sofpironium bromide is the first topical anticholinergic drug approved in Japan for the treatment of primary axillary hyperhidrosis. This study aimed to investigate the effectiveness of sofpironium bromide in patients with primary axillary hyperhidrosis who experienced residual axillary...

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Main Authors: Masanobu Sakisaka, Akihiko Takushima
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2025-01-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0067/_pdf/-char/en
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author Masanobu Sakisaka
Akihiko Takushima
author_facet Masanobu Sakisaka
Akihiko Takushima
author_sort Masanobu Sakisaka
collection DOAJ
description Objectives: Sofpironium bromide is the first topical anticholinergic drug approved in Japan for the treatment of primary axillary hyperhidrosis. This study aimed to investigate the effectiveness of sofpironium bromide in patients with primary axillary hyperhidrosis who experienced residual axillary odor or recurrence of axillary odor after surgery with subdermal excision of apocrine glands by skin flap procedure for axillary osmidrosis. Methods: A total of 56 patients who underwent surgery for axillary osmidrosis at our hospital between January 2022 and April 2023 were included in this study. Axillary odor and sweat volume were evaluated with patient-reported visual analog scale in 56 patients who underwent surgery for axillary osmidrosis and 13 patients administered with sofpironium bromide after the surgery. Results: Surgery in patients with axillary osmidrosis significantly improved axillary odor and excessive sweating by approximately 90% and approximately 54%, respectively. Treatment with sofpironium bromide in patients with axillary hyperhidrosis after the surgery significantly improved axillary odor and excessive sweating by approximately 70% and approximately 63%, respectively. Conclusions: These results suggest that sofpironium bromide is effective in patients with axillary hyperhidrosis after the surgery. Since this study was conducted with a small number of patients in a retrospective single-arm design, it is necessary to validate the results in a prospective controlled study with a large number of patients.
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spelling doaj-art-238ebb43e6664d3db5d666555ae11a642025-02-03T00:52:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-01-014113192023-0067Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary OsmidrosisMasanobu Sakisaka0Akihiko Takushima1Sakisaka HospitalDepartment of Plastic Surgery, Kyorin University School of MedicineObjectives: Sofpironium bromide is the first topical anticholinergic drug approved in Japan for the treatment of primary axillary hyperhidrosis. This study aimed to investigate the effectiveness of sofpironium bromide in patients with primary axillary hyperhidrosis who experienced residual axillary odor or recurrence of axillary odor after surgery with subdermal excision of apocrine glands by skin flap procedure for axillary osmidrosis. Methods: A total of 56 patients who underwent surgery for axillary osmidrosis at our hospital between January 2022 and April 2023 were included in this study. Axillary odor and sweat volume were evaluated with patient-reported visual analog scale in 56 patients who underwent surgery for axillary osmidrosis and 13 patients administered with sofpironium bromide after the surgery. Results: Surgery in patients with axillary osmidrosis significantly improved axillary odor and excessive sweating by approximately 90% and approximately 54%, respectively. Treatment with sofpironium bromide in patients with axillary hyperhidrosis after the surgery significantly improved axillary odor and excessive sweating by approximately 70% and approximately 63%, respectively. Conclusions: These results suggest that sofpironium bromide is effective in patients with axillary hyperhidrosis after the surgery. Since this study was conducted with a small number of patients in a retrospective single-arm design, it is necessary to validate the results in a prospective controlled study with a large number of patients.https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0067/_pdf/-char/ensurgery for axillary osmidrosissubdermal excision of apocrine glandsskin flap procedureaxillary hyperhidrosissofpironium bromide
spellingShingle Masanobu Sakisaka
Akihiko Takushima
Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
Journal of Plastic and Reconstructive Surgery
surgery for axillary osmidrosis
subdermal excision of apocrine glands
skin flap procedure
axillary hyperhidrosis
sofpironium bromide
title Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
title_full Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
title_fullStr Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
title_full_unstemmed Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
title_short Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis
title_sort effectiveness of sofpironium bromide in patients with primary axillary hyperhidrosis who experienced residual or recurrence of axillary odor after surgery for axillary osmidrosis
topic surgery for axillary osmidrosis
subdermal excision of apocrine glands
skin flap procedure
axillary hyperhidrosis
sofpironium bromide
url https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0067/_pdf/-char/en
work_keys_str_mv AT masanobusakisaka effectivenessofsofpironiumbromideinpatientswithprimaryaxillaryhyperhidrosiswhoexperiencedresidualorrecurrenceofaxillaryodoraftersurgeryforaxillaryosmidrosis
AT akihikotakushima effectivenessofsofpironiumbromideinpatientswithprimaryaxillaryhyperhidrosiswhoexperiencedresidualorrecurrenceofaxillaryodoraftersurgeryforaxillaryosmidrosis