Clinical guidelines for overactive bladder

Prevalence of overactive bladder and its related factors in Japanese patients with diabetes mellitus

“…In the present study, patients who satisfied criteria of both an urgency score (Q3 in Table S1) of ≥2 (once a week or more) and total score of ≥3 were considered to have OAB [13]. Among patients with OAB, those with an urgency incontinence score (Q4 in Table S1) ≥2 (once a week or more) were considered to have wet OAB and those with an urgency incontinence score of 1 (less than once a week) or 0 (not at all), were considered to have dry OAB [3,12]. Severity of OAB was categorized based on total score (Mild: 5 or less; Moderate: 6 to 11; and Severe: ≥12) [3,15].…”

“…Urodynamic studies are not always necessary for diagnosis or starting treatment [2,3]. OAB is categorized as either "dry OAB," where there is no incontinence, or "wet OAB," which is accompanied by incontinence [3]. Since OAB can substantially have negative impact on patient's quality of life (QOL) in social, psychological, occupational, physical, and sexual aspects [4], these symptoms have increasingly become a concern in the management of diabetes.…”

“…Therefore OAB is diagnosed on the basis of subjective symptoms and without the complexity of urodynamic studies. Urodynamic studies are not always necessary for diagnosis or starting treatment [2,3]. OAB is categorized as either "dry OAB," where there is no incontinence, or "wet OAB," which is accompanied by incontinence [3].…”

Evaluation of Overactive Bladder in Type 2 Diabetes Patients with a Questionaire-Based Study

“…OAB syndrome is first described by Paul Abrams in 1997 and first formulated in early 2001 by the Standardization Subcommittee of the International Continence Society (6). The etiology of diabetic OAB is still not well-recognized, but the genesis of OAB in diabetes has been thought to develop with the central or/and peripheral nerve damage; for example, DO as a result of diabetic cerebral vasculopathy or/and increased bladder sensation because of peripheral nerve irritation (20,21). On the other hand, peripheral nerve damage in diabetic cerebral vasculopathy with decreased bladder capacity and presence of mimic OAB (22).…”

1749 the Impact of Abdominal Aortic Calcification and Visceral Fat Obesity on Lower Urinary Tract Symptoms in Patients With Benign Prostatic Hyperplasia

“…According to the clinical guidelines for OAB 13 , OAB was defined as urinary urgency once a week or more (Q2 > 2) and total score of OABSS > 3. Total score of OABSS ranges from 0 to 15, with higher scores indicating increasing symptom severity (>5, mild; 6-11, moderate; >12, severe) 14 . All patients were assessed with abdominal CT that was performed as a part of health check and evaluation.…”