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Related Experiment Videos

Pathophysiology of overactive bladder.

Franklin M Chu1, Roger Dmochowski

  • 1San Bernardino Urology Research Center, San Bernardino, California, USA. FMCSBU@aol.com

The American Journal of Medicine
|February 18, 2006
PubMed
Summary
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Overactive bladder (OAB) symptoms are common but often misunderstood as normal aging. Primary care physicians can effectively manage OAB with an understanding of its causes.

Area of Science:

  • Urology
  • Gerontology
  • Primary Care Medicine

Background:

  • Overactive bladder (OAB) is a prevalent condition in primary care, often misperceived by patients and providers as a normal aspect of aging.
  • Patient reluctance to discuss OAB symptoms and the adoption of coping strategies instead of seeking treatment further complicate management.
  • Misconceptions that OAB is untreatable or requires specialist care hinder timely diagnosis and intervention.

Purpose of the Study:

  • To review normal bladder function.
  • To explore the pathophysiologic changes underlying overactive bladder (OAB) symptoms.
  • To inform primary care physicians about OAB management.

Main Methods:

  • Literature review of normal bladder physiology.
  • Exploration of pathophysiologic mechanisms causing OAB symptoms.

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  • Synthesis of information for primary care application.

    • Main Results:

    • Normal bladder function involves coordinated storage and emptying.
    • Pathophysiologic changes, such as detrusor overactivity, are key to OAB.
    • Understanding these changes is crucial for effective primary care management.

    Conclusions:

    • Overactive bladder (OAB) is a treatable condition, not an inevitable part of aging.
    • Primary care physicians are well-positioned to manage OAB with appropriate knowledge.
    • Addressing patient and provider misconceptions is vital for improving OAB care.