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Defining Causes for Overactive Bladder Symptoms in Women
Yu-Hua Fan1, Alex T L Lin1, Kuang-Kuo Chen1
1Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Urology, School of Medicine, National Yang-Ming University, Taipei, TaiwanShu-Tien Urological Science Research Center, National Yang-Ming University, Taipei, Taiwan.
Lower Urinary Tract Symptoms
|December 18, 2015
Summary
Identifying the causes of overactive bladder (OAB) symptoms in women is crucial. This study found stress urinary incontinence (SUI) to be the most common cause, highlighting the need for detailed diagnosis.
Area of Science:
- Urology
- Gynecology
- Women's Health
Background:
- Overactive bladder (OAB) symptoms significantly impact women's quality of life.
- Accurate diagnosis of OAB causes is essential for effective treatment.
Purpose of the Study:
- To determine the underlying causes of overactive bladder (OAB) symptoms in women presenting to a urological clinic.
- To categorize OAB causes including idiopathic, stress urinary incontinence (SUI)-associated, neurogenic bladder, and bladder outlet obstruction (BOO).
Main Methods:
- Prospective recruitment of 108 female patients with OAB symptoms.
- Comprehensive evaluation including medical history, frequency-volume charts, IPSS and OABSS questionnaires.
- Urodynamic studies (pressure-flow or video-urodynamic) to assess bladder function.
Main Results:
- Detrusor overactivity was confirmed in 51% of patients.
- Idiopathic OAB (47.2%) and SUI-associated OAB (42.6%) were the most frequent diagnoses.
- Neurogenic bladder (12.0%) and bladder outlet obstruction (BOO) (6.5%) were also identified.
Conclusions:
- The etiology of OAB symptoms can be identified in approximately half of women attending urological clinics.
- Stress urinary incontinence (SUI) is the predominant cause of OAB in this cohort.
- OAB symptoms in women may be linked to bladder outlet obstruction (BOO), necessitating thorough urodynamic assessment for accurate diagnosis and optimal management.
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