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Managing overactive bladder.

D Robinson1, L Cardozo1

  • 1a Department of Urogynaecology , King's College Hospital , London , UK.

Climacteric : the Journal of the International Menopause Society
|April 30, 2019
PubMed
Summary
This summary is machine-generated.

Overactive bladder (OAB) affects many women, worsening with age. This review covers initial assessment, conservative and drug therapies, estrogen

Keywords:
Botulinum ToxinOveractive bladderantimuscarinicsestrogenneuromodulationβ3 agonists

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Area of Science:

  • Urology
  • Gynecology

Background:

  • Overactive bladder (OAB) is a prevalent, age-related condition significantly impacting quality of life.
  • OAB is diagnosed symptomatically, often necessitating preliminary investigations before treatment.
  • Current management strategies vary widely, from conservative measures to advanced surgical interventions.

Purpose of the Study:

  • To review the initial clinical assessment and management of overactive bladder in women.
  • To discuss the role of estrogen therapy in OAB management.
  • To explore treatment options for refractory overactive bladder.

Main Methods:

  • Literature review of clinical assessment and management strategies for OAB.
  • Focus on conservative measures, pharmacotherapy, and estrogen's role.
  • Examination of advanced treatments for refractory OAB, including neuromodulation, Botulinum Toxin, and surgery.

Main Results:

  • Initial assessment involves understanding symptoms and patient history.
  • Conservative and drug therapies form the first line of management.
  • Estrogen therapy may be beneficial in specific patient populations.
  • Refractory OAB may require neuromodulation, Botulinum Toxin, or surgery.

Conclusions:

  • Comprehensive initial assessment is crucial for effective OAB management in women.
  • A stepwise approach, starting with conservative measures and progressing to advanced therapies, is recommended.
  • Estrogen therapy and invasive options offer alternatives for refractory cases.