Back to Search Start Over

The AUA/SUFU guideline on the diagnosis and treatment of idiopathic overactive bladder.

Authors :
Cameron, Anne P.
Chung, Doreen E.
Dielubanza, Elodi J.
Enemchukwu, Ekene
Ginsberg, David A.
Helfand, Brian T.
Linder, Brian J.
Reynolds, W. Stuart
Rovner, Eric S.
Souter, Lesley
Suskind, Anne M.
Takacs, Elizabeth
Welk, Blayne
Smith, Ariana L.
Source :
Neurourology & Urodynamics; Nov2024, Vol. 43 Issue 8, p1742-1752, 11p
Publication Year :
2024

Abstract

Purpose: The purpose of this guideline is to provide evidence‐based guidance to clinicians of all specialties on the evaluation, management, and treatment of idiopathic overactive bladder (OAB). The guideline informs the reader on valid diagnostic processes and provides an approach to selecting treatment options for patients with OAB through the shared decision‐making process, which will maximize symptom control and quality of life, while minimizing adverse events and burden of disease. Methods: An electronic search employing OVID was used to systematically search the MEDLINE and EMBASE databases, as well as the Cochrane Library, for systematic reviews and primary studies evaluating diagnosis and treatment of OAB from January 2013 to November 2023. Criteria for inclusion and exclusion of studies were based on the Key Questions and the populations, interventions, comparators, outcomes, timing, types of studies and settings (PICOTS) of interest. Following the study selection process, 159 studies were included and were used to inform evidence‐based recommendation statements. Results: This guideline produced 33 statements that cover the evaluation and diagnosis of the patient with symptoms suggestive of OAB; the treatment options for patients with OAB, including Noninvasive therapies, pharmacotherapy, minimally invasive therapies, invasive therapies, and indwelling catheters; and the management of patients with BPH and OAB. Conclusion: Once the diagnosis of OAB is made, the clinician and the patient with OAB have a variety of treatment options to choose from and should, through shared decision‐making, formulate a personalized treatment approach taking into account evidence‐based recommendations as well as patient values and preferences. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07332467
Volume :
43
Issue :
8
Database :
Complementary Index
Journal :
Neurourology & Urodynamics
Publication Type :
Academic Journal
Accession number :
180410914
Full Text :
https://doi.org/10.1002/nau.25532