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Related Experiment Videos

Overactive bladder and men: indications for anticholinergics.

Ricardo R González1, Alexis E Te

  • 1Department of Urology, New York Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, Suite F918, New York, NY 10021, USA.

Current Urology Reports
|November 19, 2003
PubMed
Summary
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Overactive bladder (OAB) symptoms are common in aging men, often linked to bladder outlet obstruction (BOO). Treatment aims to improve quality of life, but caution is needed with anticholinergics in men with BOO to avoid urinary retention.

Area of Science:

  • Urology
  • Geriatrics

Background:

  • Overactive bladder (OAB) symptoms are prevalent in aging men, frequently co-occurring with bladder outlet obstruction (BOO).
  • Managing OAB in men with BOO presents challenges, including the risk of acute urinary retention and increased postvoid residuals.

Purpose of the Study:

  • To examine the relationship between OAB and BOO in men.
  • To review the role of urodynamics and anticholinergic use in men with OAB and obstruction.
  • To propose a management algorithm for men with OAB.

Main Methods:

  • Review of existing literature on OAB, BOO, urodynamics, and anticholinergic therapy in men.
  • Development of a management algorithm based on the presence or absence of obstruction.

Main Results:

Related Experiment Videos

  • Anticholinergic therapy is indicated for men with OAB without evidence of obstruction.
  • A nomogram exists to aid in managing men with OAB and concomitant BOO at risk for urinary retention.
  • Treatment of significant obstruction should precede anticholinergic use for OAB in men with BOO.

Conclusions:

  • Management strategies for OAB in men must consider the presence or absence of BOO.
  • Prioritizing treatment of BOO is crucial before initiating anticholinergic therapy in men with concomitant OAB and obstruction.
  • A proposed algorithm can guide clinicians in managing these complex cases to improve patient outcomes and quality of life.