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Exploring lifelong overactive bladder: Transitions, evidence, and clinical implications; A modified Delphi process.

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Summary

Lifelong overactive bladder (OAB) is a continuous condition evolving from birth, influenced by anatomical, hormonal, and psychosocial factors. Understanding its temporal dynamics and transitions is crucial for improved OAB management.

Keywords:
lifelongmodified Delphi processoveractive bladdertransition phasestransitional care

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Area of Science:

  • Urology
  • Geriatrics
  • Gynecology

Background:

  • Overactive bladder (OAB) is a common condition defined by urinary urgency, frequency, and nocturia.
  • Current OAB definitions lack temporal specificity, limiting understanding of its progression.
  • This study addresses the temporal aspects of OAB, proposing a definition for lifelong OAB.

Purpose of the Study:

  • To establish a consensus definition for lifelong overactive bladder (OAB).
  • To identify key transition periods and influencing factors in the OAB spectrum.
  • To explore the diagnostic and therapeutic implications of a lifelong OAB concept.

Main Methods:

  • A modified Delphi study involving international experts in functional urology and related fields.
  • Utilized three rounds: two online surveys and a final hybrid group discussion.
  • Conducted between February and June 2023.

Main Results:

  • Consensus reached on lifelong OAB as a persistent, evolving condition from birth.
  • Identified influencing factors: anatomical, hormonal, psychosocial/stressors.
  • Defined three transition periods: daytime continence, adulthood to elderly, and frail elderly.

Conclusions:

  • Lifelong OAB requires further longitudinal research to refine its concept.
  • Future studies should focus on identifying temporal dynamics and transitions.
  • This work provides a foundation for understanding OAB's lifelong trajectory.