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Surgery for the treatment of overactive bladder
1Section of Voiding Dysfunction and Female Urology, The Cleveland Clinic Foundation, Ohio 44195, USA.
Urology
|March 12, 1998
Summary
Surgical options for overactive bladder (OAB) offer improved quality of life when conservative treatments fail. Procedures like partial rhizotomy and detrusor myomectomy show promise for specific OAB conditions.
Area of Science:
- Urology
- Surgical Innovation
- Pelvic Health
Background:
- Overactive bladder (OAB) significantly impacts quality of life.
- Conservative management strategies for OAB are often insufficient.
- Surgical intervention is considered for refractory OAB cases.
Purpose of the Study:
- To review and describe surgical interventions for overactive bladder.
- To evaluate the efficacy and indications of various surgical procedures for OAB.
Main Methods:
- Literature review of endoscopic and open surgical procedures for OAB.
- Analysis of surgical outcomes based on published data.
Main Results:
- Endoscopic hydrodistention offers temporary symptom relief.
- Partial rhizotomy and peripheral denervation show efficacy for specific OAB types.
- Detrusor myomectomy is effective for neurogenic OAB.
- Enterocystoplasty and urinary diversion are reserved for intractable cases.
Conclusions:
- Appropriately selected surgical procedures can significantly enhance quality of life for individuals with OAB.
- Surgical management should be tailored to the specific etiology and presentation of OAB.
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