Management of Overactive Bladder in Older Women

This review will highlight our current understanding of age-related changes in bladder function and propose important clinical considerations in the management of overactive bladder (OAB) specific to older women.

Frailty, functional and cognitive impairment, multimorbidity, polypharmacy, estrogen deficiency, and remaining life expectancy are important clinical factors to consider and may impact OAB symptom management in older women. Third-line therapies, particularly PTNS, may be preferable over second-line therapy in some cases. Due to the complexity within this population, the standard treatment algorithms may not be applicable, thus a broader, more holistic focus is recommended when managing OAB in older women.

Current urology reports. 2018 Sep 10*** epublish ***

Toya S Pratt, Anne M Suskind

Kaiser Permanente East Bay-University of California San Francisco, 275 MacArthur Blvd, Oakland, CA, 94618, USA., University of California, San Francisco, 400 Parnassus Avenue, Box 0738, San Francisco, CA, 94143, USA. .