overactive%20bladder
OVERACTIVE BLADDER
Treatment Guideline Chart

Overactive bladder is a syndrome characterized by urinary urgency with or without frequency, nocturia and urgency incontinence.

It is also known as bladder spasms, suggestive of underlying detrusor overactivity.

Incidence increases with age and more commonly affects women.

Overactive%20bladder Signs and Symptoms

Introduction

  • Also known as bladder spasms, suggestive of underlying detrusor overactivity (phasic increases in detrusor pressure)
  • Incidence increases with age and more commonly affects women

Definition

  • Defined by the International Continence Society as a syndrome characterized by urinary urgency with or without urgency incontinence, frequency and nocturia, in the absence of a causative infection or pathologic condition

Signs and Symptoms

  • Urinary urgency
    • Complaint of sudden, compelling desire to pass urine which is difficult to defer
    • Considered as the hallmark of overactive bladder (OAB)
    • Number of voids and number of incontinence episodes are used to measure treatment responses
  • Urinary frequency
    • Measured using a voiding diary
    • Number of voiding may vary based on hours of sleep, fluid intake, comorbid medical conditions and other relevant factors
  • Nocturia
    • Complaint of interruption of sleep due to the need to void
  • Urgency incontinence
    • Involuntary leakage of urine, associated with sudden compelling desire to void
    • Measured using a diary and by the quantity of urine leakage using pad tests

Risk Factors

  • ≥40 years old
  • Obesity
  • Previous pelvic and prostate surgery
  • Neurological conditions  (eg diabetic neuropathy, stroke, spinal cord injury, dementia, Parkinson’s disease, multiple sclerosis)

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