Open Access

ARTICLE

Overactive bladder symptoms in women: current concepts in patient management

William A. Easton

Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, University of Toronto, Toronto, Ontario, Canada
Address correspondence to Dr. William A. Easton, 203-1371 Neilson Road, Scarborough, Ontario M1B 4Z8 Canada

Canadian Journal of Urology 2010, 17(Suppl.1), 12-17.

Abstract

The symptoms of overactive bladder (OAB) -- urinary urgency, frequency, and urge incontinence -- can cause signifi cant lifestyle limitations. Social isolation, depression, employment diffi culties, and relationship stress are common fi ndings in patients with this condition. This article focuses on women with OAB who are seen in primary care. Occasionally, OAB (or detrusor overactivity) may be the result of neurological disease, metabolic disease, or urinary tract abnormalities. Primary care practitioners can play a key role in identifying affected individuals by including a focused question in every annual patient physical assessment. Investigation and treatment can then be initiated, beginning with behavioral modifi cation strategies (such as modifying fl uid intake) and adding antimuscarinic pharmacotherapy or possibly local estrogen therapy where needed. Only patients with certain concurrent diseases or those who are refractory to conventional management will require referral to a specialist.

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Keywords

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