Fast Five Quiz: Overactive Bladder

Bradley Schwartz, DO

Disclosures

September 25, 2020

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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