Overactive bladder syndrome - management and treatment options.

نویسندگان

  • Janine Arnold
  • Nicholas McLeod
  • Ruban Thani-Gasalam
  • Prem Rashid
چکیده

BACKGROUND Overactive bladder syndrome is a symptom-based clinical diagnosis. It is characterised by urinary urgency, frequency and nocturia, with or without urge urinary incontinence. These symptoms can often be managed in the primary care setting. OBJECTIVE This article provides a review on overactive bladder syndrome and provides advice on management for the general practitioner. DISCUSSION Overactive bladder syndrome can have a significant effect on quality of life, and affects 12-17% of the population. Prevalence increases with age. The management of overactive bladder syndrome involves exclusion of underlying pathology. First line treatment includes lifestyle interventions, pelvic floor exercises, bladder training and antimuscarinic agents. Failure of conservative management necessitates urology referral. Second line therapies are more invasive, and include botulinum toxin, neuromodulation or surgical interventions such as augmentation cystoplasty or urinary diversion.

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عنوان ژورنال:
  • Australian family physician

دوره 41 11  شماره 

صفحات  -

تاریخ انتشار 2012