Optimizing Nonsurgical Treatments of Overactive Bladder in the United States.

Overactive bladder (OAB) syndrome is a prevalent condition impacting quality of life (QOL), activities of daily living, work productivity, physical and psychological health, sleep, and sexuality. Published guideline recommendations and effective behavioral, pharmacologic, and neuromodulatory therapies exist; however, adherence can be poor. Clinicians have important roles educating patients, setting treatment expectations, and providing follow-up. Determining patient goals, routinely assessing and adjusting therapy, and combining treatment strategies may improve outcomes. We review the benefits and challenges of OAB treatments and propose approaches to improve patient management, with the goals of initiating therapy earlier and achieving better patient satisfaction, functioning, and QOL.

Urology. 2020 Jun 26 [Epub ahead of print]

Benjamin M Brucker, Richard K Lee, Diane K Newman

NYU Langone Health, New York, NY. Electronic address: ., Weill Cornell Medicine, New York, NY., Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

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