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Overactive bladder.

Lesley K Carr1

  • 1Department of Surgery, Division of Urology, University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada.

The Canadian Journal of Urology
|September 4, 2008
PubMed
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Overactive bladder (OAB) significantly impacts quality of life, affecting 14-18% of Canadians. Primary care can diagnose and manage OAB effectively with behavioral therapies and medications, improving patient outcomes.

Area of Science:

  • Urology
  • Primary Care Medicine

Background:

  • Overactive bladder (OAB) is a prevalent condition affecting 14-18% of Canadians.
  • OAB significantly diminishes patients' quality of life.
  • It can be idiopathic or associated with other conditions like bladder outlet obstruction or neurological disease.

Purpose of the Study:

  • To outline the primary care approach to diagnosing and managing overactive bladder.
  • To emphasize the efficacy of behavioral therapies and pharmacotherapy.
  • To guide when specialist referral is necessary.

Main Methods:

  • Diagnosis relies on patient history, physical examination, and basic laboratory tests.
  • Management strategies include behavioral modifications and pharmacotherapy, primarily anticholinergic agents.

Related Experiment Videos

  • Treatment may involve trying multiple medications to optimize efficacy and tolerability.

    • Main Results:

    • Primary care physicians can safely diagnose OAB with minimal testing.
    • Behavioral therapies and pharmacotherapy are generally successful in managing OAB symptoms.
    • Most OAB patients do not require invasive procedures like cystoscopy or urodynamics.

    Conclusions:

    • Effective treatments for OAB are available and should be screened for in primary care settings.
    • Early diagnosis and management in primary care can significantly improve quality of life for OAB patients.
    • Specialist referral is reserved for cases refractory to initial treatment or with complicating factors.