J Clin Outcomes Manage
Diagnosis and treatment of overactive bladder
Abstract Objective: To review the diagnosis and treatment of overactive bladder (OAB). Methods: Qualitative assessment of the literature. Results: OAB syndrome is a highly prevalent disorder that remains vastly underreported. Typical symptoms include urinary frequency, urinary urgency, and urinary urge incontinence. Symptoms can be disruptive and impair quality of life. Behavioral therapy is the cornerstone of treatment and consists of patient education, fluid and dietary management, timed voiding or bladder training, pelvic floor exercises, and voiding diary. Antimuscarinic medication remains the most commonly prescribed drug treatment and results in statistically significant improvement in symptoms. Dry mouth is a common side effect. Combining behavioral and pharmacotherapy appears to give superior symptom relief than either treatment alone. Conclusion: Most patients with OAB do not seek treatment and are not aware that their condition is treatable. It is important for physicians to be able to identify and treat this disorder.
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