The AUA/SUFU guidelines include these recommendations for the diagnosis of OAB:
The minimum requirements for the diagnostic process to document symptoms and signs that characterize OAB and exclude other disorders are a careful history, physical examination, and urinalysis.
Additional procedures and measures may be necessary to validate an OAB diagnosis, exclude other disorders, and fully inform the treatment plan. At the clinician's discretion, a urine culture and/or postvoid residual assessment may be performed, and information from bladder diaries and/or symptom questionnaires may be obtained.
Urodynamics testing, cystoscopy and diagnostic renal and bladder ultrasound should not be used in the initial workup of patients with uncomplicated OAB.
After assessment has been performed to exclude conditions requiring treatment and counseling, no treatment is an acceptable patient choice.
Patient education should include normal lower urinary tract function, what is known about OAB, the benefits vs risks/burdens of the available treatment alternatives, and the fact that achieving acceptable symptom control may require trials of multiple therapeutic options.
Read more about the workup for OAB.
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Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Bradley Schwartz. Fast Five Quiz: Overactive Bladder - Medscape - Sep 25, 2020.
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