Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/24438
Title: Overactive bladder syndrome: Management and treatment options.
Austin Authors: Hutchinson, Alexander;Nesbitt, Alexander;Joshi, Andre;Clubb, Adrian;Perera, Marlon 
Affiliation: Department of Urology, Mater Hospital, Qld
Urology
Surgery
The University of Melbourne, Vic;
Faculty of Medicine, University of Queensland, Qld
Issue Date: Sep-2020
Date: 2020-09
Publication information: Australian Journal of General Practice 2020; 49(9): 593-598
Abstract: Overactive bladder (OAB) is a common syndrome in the community characterised by unstable bladder contractions, resulting in urinary urgency, frequency and nocturia in the absence of detectable disease. Large studies suggest that >10% of the general population is symptomatic. The aim of this article is to summarise the stepwise treatment for OAB that seeks to improve patient quality of life and reduce patient and health system costs. OAB is a diagnosis of exclusion that begins with a targeted history and examination of the urogenital system with the aim of assessing the burden of disease on the patient. First-line treatment comprises conservative measures including weight reduction, a decrease in exposure to bladder stimulants, fluid optimisation and pelvic floor exercises. Pharmacological treatments for OAB include anticholinergic medications such as oxybutynin. If the patient is unresponsive to pharmacological treatment, a review by a urology specialist is appropriate. Recommendations may include minimally invasive procedures such as intravesical botulinum toxin A injections, reserving the invasive procedures for patients in specific circumstances.
URI: https://ahro.austin.org.au/austinjspui/handle/1/24438
DOI: 10.31128/AJGP-11-19-5142
Journal: Australian Journal of General Practice
PubMed URL: 32864677
Type: Journal Article
Appears in Collections:Journal articles

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