Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Overactive bladder--a practical approach to evaluation and management.

Helmut Madersbacher1

  • 1Neuro-Urology Unit, Department of Neurology, Landeskrankenhaus Univ.- Klinik Innsbruck. A-6020 Innsbruck, Austria. helmut.madersbacher@tilak.at

Le Journal Medical Libanais. the Lebanese Medical Journal
|January 26, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

European Academy of Neurology (EAN)/European Federation of Autonomic Societies (EFAS)/International Neuro-Urology Society (INUS) Guidelines for Practising Neurologists on the Assessment and Treatment of Neurogenic Urinary and Sexual Symptoms (NEUROGED Guidelines).

European journal of neurology·2025
Same author

Effect of Intrathecal Baclofen on Bladder Function in Patients With Severe Supraspinal Spasticity.

Neurourology and urodynamics·2025
Same author

Salvage perineal-retropubic AUS cuff in paraplegic patient with exstrophy-epispadias complex after previous cuff erosion at bladder neck.

Urology case reports·2020
Same author

Efficacy and safety of mirabegron for the treatment of low compliance bladder resulting from sacral/infrasacral lesions: A prospective study.

International journal of urology : official journal of the Japanese Urological Association·2020
Same author

Work-up for the neurourological patient.

European urology focus·2019
Same author

Frequency volume chart for the illiterate population: A simple solution.

Indian journal of urology : IJU : journal of the Urological Society of India·2019
Same journal

SMOKING · WE DO NOT WANT TO QUIT!.

Le Journal medical libanais. The Lebanese medical journal·2018
Same journal

CIRCULATING microRNAs: POTENTIAL BIOMARKERS IN CANCER DETECTION, DIAGNOSIS AND PROGNOSIS.

Le Journal medical libanais. The Lebanese medical journal·2018
Same journal

AUTISM IN REVIEW.

Le Journal medical libanais. The Lebanese medical journal·2018
Same journal

[Not Available].

Le Journal medical libanais. The Lebanese medical journal·2018
Same journal

RELATIONSHIP OF PERSONALITY TRAITS WITH ANXIETY, DEPRESSIVE AND PTSD SYMPTOMATOLOGY AND ACADEMIC PERFORMANCE. Experience with an Arab college student sample.

Le Journal medical libanais. The Lebanese medical journal·2018
Same journal

EARLY INCREASE of CA 19-9 in ADVANCED PANCREATIC CANCER RECEIVING FOLFIRINOX. Is it a sign of efficacy?.

Le Journal medical libanais. The Lebanese medical journal·2018
See all related articles

Overactive bladder (OAB) is a common condition requiring a stepwise approach to management. Early diagnosis and conservative therapies, including behavioral changes and medication, are key to improving quality of life for OAB patients.

Area of Science:

  • Urology
  • Gynecology
  • Geriatrics

Background:

  • Overactive bladder (OAB) is a prevalent condition characterized by urinary urgency, frequency, and incontinence.
  • Its pathophysiology is complex and not fully understood, presenting a significant management challenge.
  • Current management strategies for OAB are not standardized, necessitating a clear diagnostic and therapeutic algorithm.

Purpose of the Study:

  • To define overactive bladder (OAB) and its prevalence.
  • To review the basic evaluation and diagnosis of OAB symptoms.
  • To outline the rationale and approach to OAB therapy, including conservative and advanced treatment options.

Main Methods:

  • Symptom assessment, physical examination, urinalysis, and post-void residual urine estimation form the basic diagnostic workup.

Related Experiment Videos

  • Bladder diary is highlighted as an optimal diagnostic tool; urodynamics are considered valuable but costly.
  • A stepwise therapeutic algorithm is proposed, starting with conservative measures and progressing to neuromodulation and other advanced therapies if needed.

    • Main Results:

    • Symptom-focused diagnosis is sufficient for initiating nonoperative therapy for OAB.
    • Initial conservative therapy combining antimuscarinic drugs and behavioral interventions (e.g., pelvic floor exercises) should be attempted for at least 6 weeks.
    • If initial therapy fails, the diagnosis should be re-evaluated, and further diagnostic tests may be required.

    Conclusions:

    • A standardized, stepwise approach to OAB management is crucial for effective treatment.
    • Conservative therapies, including behavioral modifications and pharmacotherapy, form the cornerstone of initial OAB management.
    • Neuromodulation and emerging therapies offer promising alternatives for refractory OAB cases, emphasizing less invasive options before surgical interventions.