Optimizing Nonsurgical Treatments of Overactive Bladder in the United States

Abstract

Overactive bladder syndrome is a prevalent condition impacting quality of life, activities of daily living, work productivity, physical and psychological health, sleep, and sexuality. Published guideline recommendations and effective behavioral, pharmacologic, and neuromodulatory therapies exist; however, adherence can be poor. Clinicians have important roles educating patients, setting treatment expectations, and providing follow-up. Determining patient goals, routinely assessing and adjusting therapy, and combining treatment strategies may improve outcomes. We review the benefits and challenges of overactive bladder treatments and propose approaches to improve patient management, with the goals of initiating therapy earlier and achieving better patient satisfaction, functioning, and quality of life. UROLOGY 145: 52 −59, 2020.

Effects of transcutaneous tibial nerve stimulation for overactive bladder symptoms in adults: A randomized controlled trial

“…For individuals with urinary symptoms, including OAB symptoms of neurogenic or idiopathic origin and incontinence, standard physical therapy (Pelvic Floor Muscles (PFM) training-Kegels) is an effective treatment [9]. The American Urological Association (AUA) advises PFM training as the initial therapy for all people with OAB [10]. Voluntary PFM contractions can effectively inhibit involuntary bladder contractions and improve the symptoms of OAB [11].…”

Efficacy of non‐pharmacological interventions in patients with overactive bladder: A protocol for systematic review and network meta‐analysis

“…Overactive bladder (OAB) is a common chronic urological disorder characterized by urinary urgency, frequency and nocturia, with or without urge urinary incontinence (Shaw & Wagg, 2020). Besides, patients suffering OAB are liable to bother sleep, impact normal social activities and decrease sexuality and impair self-esteem, which extremely exacerbates the quality of life (Brucker et al, 2020). Though the overall prevalence and aetiologies of OAB are similar in males and females (Corcos et al, 2017;Peyronnet et al, 2019;Zhu et al, 2019), there are still specific differences in the two genders.…”