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Published on: August 9, 2012
Augmentation enterocystoplasty in overactive bladder: is there still a role?
Polina Reyblat1, David A Ginsberg
1University of Southern California, Rancho Los Amigos National Rehabilitation Center, Los Angeles, CA 90033, USA.
Overactive bladder (OAB) is a common condition causing urinary urgency. Despite new treatments, augmentation cystoplasty remains a key option for patients with refractory OAB.
Area of Science:
- Urology
- Nephrology
Background:
- Overactive bladder (OAB) is a prevalent condition characterized by urinary urgency, frequency, and nocturia.
- OAB significantly impacts quality of life and can lead to considerable morbidity.
- Augmentation cystoplasty (AC) has traditionally been reserved for refractory OAB cases.
Purpose of the Study:
- To evaluate the current role of augmentation cystoplasty (AC) in managing overactive bladder (OAB).
- To discuss the evolution of OAB treatment options and their impact on AC utilization.
Main Methods:
- Review of historical and current treatment modalities for OAB.
- Analysis of the place of AC within the broader OAB therapeutic landscape.
Main Results:
- OAB treatment options have expanded significantly, including pharmacological agents, neuromodulation, and botulinum toxin.
- These advancements may suggest a decreased reliance on AC as a primary therapy.
Conclusions:
- Despite advancements in OAB management, augmentation cystoplasty remains a valuable and time-tested surgical option for patients with refractory symptoms.
- Urologists continue to utilize AC as an important tool in their armamentarium for severe OAB cases.
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