Patients' Preferences and Expectations in Overactive Bladder: A Systematic Review.

The aim of our study is to review the current available knowledge regarding preferences and expectations of patients with overactive bladder (OAB). The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement guidelines were followed for this manuscript's preparation. Three online databases were searched: PubMed/Medline, Embase, and Scopus, while a combination of the following keywords was used: detrusor overactivity, overactive bladder, urinary incontinence, perspectives, expectations, and preferences. Overall, 1349 studies were retrieved and screened while only 10 studies appeared to be relevant for the scope of this review. Most of the studies were related to preferences about OAB medications (i.e., antimuscarinics); four of them reported patients' inclinations to alternative treatments in the case of medication therapy failure (i.e., neuromodulation, Botox). No data were found about diagnosis or other aspects of disease management (i.e., surgery, follow-up). Based on these findings, from the patient's point of view, the ideal medication should be cheap, without risk of cognitive function impairment, and able to reduce daytime urinary frequency and incontinence episodes.

Journal of clinical medicine. 2023 Jan 04*** epublish ***

Antonio Cicione, Riccardo Lombardo, Vincenzo Umbaca, Giorgia Tema, Giacomo Gallo, Jordi Stira, Carmen Gravina, Beatrice Turchi, Antonio Franco, Elisa Mancini, Antonio Nacchia, Rocco Damiano, Andrea Tubaro, Cosimo De Nunzio

Urology Unit, Ospedale Sant'Andrea, 'Sapienza' University of Rome, 00191 Rome, Italy., Urologia, ASP Catanzaro, 88100 Catanzaro, Italy., Unit of Urology, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy.