Overactive bladder is an important cause of urinary incontinence in women. Several new treatment options are available, but bladder training remains an essential part of management.
- The clinical syndrome of overactive bladder (OAB) is a common cause of urinary incontinence in women.
- The unpredictable nature of OAB results in greater anxiety and depression than is seen in women suffering stress incontinence.
- Symptoms of OAB include frequency, urgency and nocturia (with or without urge incontinence).
- Urodynamic testing is not always indicated but may be useful for women who have symptoms of both stress incontinence and OAB.
- Nurse continence advisors and continence physiotherapists provide bladder training services.
- Treatment with bladder training and anticholinergic drug therapy is readily achieved in the general practice setting.