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Related Experiment Videos

The prevalence of overactive bladder.

I Milsom, W Stewart, J Thüroff

    The American Journal of Managed Care
    |February 24, 2001
    PubMed
    Summary

    Overactive bladder (OAB) affects quality of life, yet most cases go undiagnosed. Research is needed to understand the prevalence and societal impact of OAB symptoms like frequency and urgency.

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    Area of Science:

    • Urology
    • Epidemiology
    • Public Health

    Background:

    • Overactive bladder (OAB) is characterized by frequency, urgency, and urge incontinence.
    • OAB significantly impacts quality of life and daily activities, but most individuals do not seek medical care.
    • Current prevalence estimates for OAB vary widely due to inconsistent case definitions, particularly for urge incontinence.

    Purpose of the Study:

    • To highlight the underdiagnosis and undertreatment of OAB.
    • To emphasize the need for standardized definitions to accurately assess OAB prevalence and impact.
    • To investigate the societal impact of OAB symptoms, especially frequency and urgency.

    Main Methods:

    • Review of existing epidemiologic studies on OAB.
    • Analysis of the limitations in current OAB diagnostic criteria.
    • Focus on the prevalence and impact of frequency and urgency, not just urge incontinence.

    Main Results:

    • OAB prevalence increases with age and is more common in women.
    • Estimates range from 3% to 43%, with significant variation attributed to differing definitions.
    • Frequency and urgency are more common than urge incontinence, especially in the 35-55 age group, impacting work and quality of life.

    Conclusions:

    • OAB is underdiagnosed and undertreated, leading to significant individual and societal costs.
    • Standardized, validated definitions are crucial for accurate OAB prevalence and impact assessment.
    • Further research is needed to quantify the full societal burden of OAB, particularly its less severe symptoms.

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