Overactive Bladder (OAB)

characterized by urinary urgency, usually with frequency and nocturia, with or without urge incontinence

what is OAB

affects millions WW

what is the prevalence of OAB

OAB increases incidence with ?

age

what does normal bladder function involve?

•coordinated activity of detrusor muscle and nervous system

what muscle contractions allows urine storage and emptying

detrusor

what three components are needed for OAB

detrusor overactivity

neural control abnormalities

RFs

what are the RFs for OAB

age

neurological disease

diabetes

obesity

list the clinical features of OAB

urgency

frequency

nocturia

incontinence

how do you dx OAB

hx and physical exam

bladder diary

urinalysis

urodynamic studies

what are some ddx for OAB

stress incontinence

UTI

prostate disorders

polyuria

list the main management categories of OAB

lifestyle modification

pharmacological interventions

advanced interventions

what kind of lifestyle modifications can be prescribed to manage OAB

fluid management

bladder training

pelvic floor therapy

what kind of pharmacological interventions can be prescribed to manage OAB

antimuscarinics

β3 agonists

what kind of advanced interventions can be prescribed to manage OAB

botox injections

neuromodulation

surgery

what are some complications of OAB

reduced quality of life

sleep disturbances

depression

social isolation

what is the prognosis like for OAB

chronic condition but manageable

multimodal tx