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[Epidemiology and pathophysiology of overactive bladder]
1Department of Urology, Zayed Military Hospital, P.O. Box 35644, Abu Dhabi. stefan.schumacher@gmx.com
Der Urologe. Ausg. A
|June 8, 2006
Summary
Overactive bladder (OAB), a condition affecting 17% of adults, is characterized by urgency, frequency, and nocturia. Emerging research suggests urothelial dysfunction may play a role in its development.
Area of Science:
- Urology
- Gerontology
- Physiology
Context:
- Overactive bladder (OAB) is defined by the International Continence Society (ICS) as symptoms including frequency, nocturia, and urgency, with or without incontinence.
- Urgency is the primary symptom for diagnosing OAB.
- The prevalence of OAB is approximately 17% in the adult population, increasing with age.
Purpose:
- To define overactive bladder (OAB) based on the latest ICS classification.
- To highlight the key diagnostic symptom of urgency.
- To present the prevalence and demographic trends of OAB.
Summary:
- OAB affects 17% of adults, with prevalence rising with age.
- Urgency, frequency, and nocturia are hallmark symptoms, with urgency being key for diagnosis.
- Approximately one-third of OAB patients experience incontinence, impacting quality of life and sexuality.
Impact:
- OAB significantly diminishes quality of life for 50% of patients and affects sexuality in 25%.
- Etiology of OAB is multifactorial, with neurogenic, myogenic, and increasingly, urothelial dysfunction considered.
- Understanding OAB's impact and etiology is crucial for developing effective management strategies.