Overactive bladder syndrome (OBS) is a symptom complex consisting of urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence (Table 1).
It is not explained by metabolic (eg. diabetes) or local pathological factors (eg. infection, stones, urothelial cancer). Urgency is the key symptom of OBS.
BACKGROUND: Overactive bladder syndrome is a symptom-based clinical diagnosis. It is characterised by urinary urgency, frequency and nocturia, with or without urge urinary incontinence. These symptoms can often be managed in the primary care setting.
OBJECTIVE: This article provides a review on overactive bladder syndrome and provides advice on management for the general practitioner.
DISCUSSION: Overactive bladder syndrome can have a significant effect on quality of life, and affects 12-17% of the population. Prevalence increases with age. The management of overactive bladder syndrome involves exclusion of underlying pathology. First line treatment includes lifestyle interventions, pelvic floor exercises, bladder training and antimuscarinic agents. Failure of conservative management necessitates urology referral. Second line therapies are more invasive, and include botulinum toxin, neuromodulation or surgical interventions such as augmentation cystoplasty or urinary diversion.
Arnold J, McLeod N, Thani-Gasalam R, Rashid P. Are you the author?
Reference: Aust Fam Physician. 2012 Nov;41(11):878-83.