Overactive Bladder Questions & Answers

Updated: Jan 17, 2020
  • Author: Pamela I Ellsworth, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is overactive bladder (OAB)?

What are the clinical manifestations of overactive bladder (OAB)?

What must be excluded before overactive bladder (OAB) is diagnosed?

What are the American Urological Association (AUA)/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) diagnostic guidelines for overactive bladder (OAB)?

What is included in the physical exam for the evaluation of overactive bladder (OAB)?

Which lab tests are performed in the evaluation of overactive bladder (OAB)?

What are the treatment options for overactive bladder (OAB)?

What are the American Urological Association (AUA)/Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) treatment guidelines for overactive bladder (OAB)?

What are the treatment options for chronic incontinence in patients with overactive bladder (OAB)?

How is overactive bladder (OAB) defined?

What are the treatment options for overactive bladder (OAB)?

What is the functional anatomy of the bladder relative to overactive bladder (OAB)?

What is the pathophysiology of overactive bladder (OAB)?

What are the neurologic etiologies of overactive bladder (OAB)?

What are non-neurologic etiologies of overactive bladder (OAB)?

What are the risk factors associated with overactive bladder (OAB)?

What is the prevalence of overactive bladder (OAB) in the US?

What is the global prevalence of overactive bladder (OAB) internationally?

Which age groups are at highest risk for overactive bladder (OAB)?

How does the prevalence of overactive bladder (OAB) vary by sex?

What is the prognosis of overactive bladder (OAB)?

How does overactive bladder (OAB) affect quality of life?

How is the effect of overactive bladder (OAB) on quality of life assessed?

What is the economic effect of overactive bladder (OAB)?

Presentation

What should be the focus of history in the evaluation of overactive bladder (OAB)?

What are key screening questions for the diagnosis of overactive bladder (OAB)?

What is the role of pulmonary and cardiovascular exam in the diagnosis of overactive bladder (OAB)?

What is the role of abdominal exam in the diagnosis of overactive bladder (OAB)?

What is the role of a pelvic exam in the diagnosis of overactive bladder (OAB)?

How is the levator ani muscle evaluated in the diagnosis of overactive bladder (OAB)?

What is the role of a rectal exam in the diagnosis of overactive bladder (OAB)?

What is the role of a neurologic exam in the diagnosis of overactive bladder (OAB)?

What are the comorbidities associated with overactive bladder (OAB)?

DDX

How is the urge to void differentiated from urgency in the evaluation of overactive bladder (OAB)?

What is the prevalence of nocturia in overactive bladder (OAB)?

What etiologies of transient incontinence should be included in the differential diagnoses of overactive bladder (OAB)?

Which conditions should be included in the differential diagnoses of overactive bladder (OAB)?

What are the differential diagnoses for Overactive Bladder?

Workup

How is overactive bladder (OAB) diagnosed?

What are the AUA/SUFU diagnostic guidelines for overactive bladder (OAB)?

What is the role of urinalysis in the diagnosis of overactive bladder (OAB)?

What is the role of postvoid residual testing in the diagnosis of overactive bladder (OAB)?

What is the role of cystometry in the diagnosis of overactive bladder (OAB)?

What is the role of urodynamic study in the diagnosis of overactive bladder (OAB)?

What is the role of cystometrography (CMG) in the diagnosis of overactive bladder (OAB)?

What is the role of uroflow/electromyelography in the diagnosis of overactive bladder (OAB)?

How is bladder outlet obstruction evaluated in the diagnosis of overactive bladder (OAB)?

Treatment

What are the treatment options for overactive bladder (OAB)?

What are the AUA/SUFU treatment guidelines for overactive bladder (OAB)?

Which behavioral interventions are used in the treatment of overactive bladder (OAB)?

What is the role of surgery in the treatment of overactive bladder (OAB)?

What are the components of behavioral therapy for overactive bladder (OAB)?

What is bladder training for the management of overactive bladder (OAB)?

What are the mechanisms of action for bladder training for the management of overactive bladder (OAB)?

What is included in bladder training for the management of overactive bladder (OAB)?

What is the role of pelvic floor muscle therapy (PFMT) for the management of overactive bladder (OAB)?

What is the role of biofeedback-assisted therapy for the management of overactive bladder (OAB)?

What is electrical stimulation for the management of overactive bladder (OAB)?

What is the efficacy of behavioral therapies for the management of overactive bladder (OAB)?

What is the role of pelvic floor muscle therapy (PFMT) for the management of overactive bladder (OAB)?

What is the efficacy of biofeedback for the management of overactive bladder (OAB)?

What are the limitations of behavioral therapy for the management of overactive bladder (OAB)?

What is the role of anticholinergics in the management of overactive bladder (OAB)?

What is the prevalence of symptom recurrence following successful pharmacologic treatment of overactive bladder (OAB)?

What are the risk factors for retreatment of overactive bladder (OAB)?

Which anticholinergics are used in the management of overactive bladder (OAB)?

Which over-the-counter (OTC) medication is used in the treatment of overactive bladder (OAB)?

What is the efficacy of anticholinergic agents in the treatment of overactive bladder (OAB)?

What are the adverse effects of anticholinergic agents used for the treatment of overactive bladder (OAB)?

What is the role of beta3-receptor agonists in the management of overactive bladder (OAB)?

What is the role of combination therapy for the management of overactive bladder (OAB)?

What is the role of botulinum toxins in the management of overactive bladder (OAB)?

What is the efficacy of botulinum toxins for the management of overactive bladder (OAB)?

What is the role of tricyclic antidepressants for the management of overactive bladder (OAB)?

Which surgical methods are used in the treatment of overactive bladder (OAB)?

Which therapies are being investigated for the management of overactive bladder (OAB)?

Which dietary modifications are used in the treatment of overactive bladder (OAB)?

What are possible causes of treatment failure in overactive bladder (OAB)?

What are the treatment options for chronic incontinence in overactive bladder (OAB)?

Medications

What are the goals of drug treatment for overactive bladder (OAB)?

Which medications in the drug class Hormones are used in the treatment of Overactive Bladder?

Which medications in the drug class Tricyclic antidepressants are used in the treatment of Overactive Bladder?

Which medications in the drug class Neuromuscular Blockers, Botulinum Toxins are used in the treatment of Overactive Bladder?

Which medications in the drug class Beta3-adrenergic agonists are used in the treatment of Overactive Bladder?

Which medications in the drug class Anticholinergics are used in the treatment of Overactive Bladder?