Peer Reviewed
Feature Article Women’s health
Achieving effective management of the overactive bladder
Abstract
Appropriate diagnosis and management of overactive bladder (OAB) by GPs is essential in reducing its negative impact on an individual’s quality of life. Successful community-based treatment of OAB involves behavioural therapy, often in conjunction with anticholinergic medications.
Key Points
- Overactive bladder (OAB) is characterised by urinary urgency with or without urinary incontinence, generally in the presence of frequency and nocturia.
- OAB is a common condition and the prevalence increases with age.
- Without treatment, OAB may produce a significant negative impact on an individual’s quality of life.
- Diagnosis involves history and physical examination, urinalysis, measurement of post-void residual urine volume and assessment of a bladder diary.
- OAB can be successfully treated in the general practice setting via behavioural modifications (e.g. fluid scheduling, bladder retraining, micturition deferment) and use of anticholinergic medications.
- Referral of patients to a urologist or urogynaecologist is indicated for those who are refractory to treatment or in whom the diagnosis of OAB is unclear.
Purchase the PDF version of this article
Already a subscriber? Login here.