[Management of overactive bladder in women].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie 2015 Vol.25(14) p. 877-83

Peyronnet B, Rigole H, Damphousse M, Manunta A

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Abstract

Overactive bladder (OAB) is defined as urgency, with or without urge incontinence, usually with frequency and nocturia. OAB has been reported in 9 to 43% of female patients. It is usually idiopathic. The diagnosis is clinical but an initial work-up may be needed to exclude an underlying cause (bladder tumor, stone, cystitis, neurological disorder…) using urinary tract ultrasound, urine culture or cystoscopy. The initial assessment may also include a frequency-volume chart and urodynamics. Behavioral therapy is the first line treatment. In case of failure, antimuscarinics are recommended. Nowadays, three treatment options are available for OAB refractory to antimuscarinics: sacral neuromodulation, peripheral tibial nerve stimulation and intra-detrusor injections of botulinum toxin. Surgical procedures such as augmentation cystoplasty are very rarely required.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 1

MeSH Terms

Administration, Intravesical; Botulinum Toxins; Cholinergic Antagonists; Cystoscopy; Diagnosis, Differential; Electric Stimulation Therapy; Exercise Therapy; Female; Humans; Neurotoxins; Ultrasonography; Urinary Bladder, Overactive; Urinary Tract; Urinary Tract Infections; Urodynamics

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