OAB Flashcards
Name the types of Urinary Incontinence
Urge
Stress
Mixed (both urge and stress)
What is Urge incontinence
Urine loss accompanied by urgency resulting from abnormal bladder contractions
What is stress incontinence
Urine loss resulting from sudden increased urine pressure, eg laugh cough or sneeze
What causes OAB
Non neurogenic OAB - Idiopathic
Neurogenic OAB
Causes of Non Neurogenic OAB
Aging
Menopause
Other including cancer and diabetes
What causes Neurogenic OAB
MS
Parkinson’s
Stroke
Spinal Cord Lesions
What is the prevalence of Dry vs Wet in OAB
16.5 % adults have OAB
63% dry - 26.5 million
37% wet - 15.4 million
How many Americans have OAB
37 million - 1 in 6
How many Americans have FI
18 million adults - 1 in 12
Name the impacts on QOL with OAB - there are 6 main ones
Physical Psychological Social Domestic Occupational Sexual
How would you diagnose OAB
Patient History - symptom assessment
Physical Examination
Urinalysis
Current OAB treatment Pathway consists of what?
After evaluation
Conservative therapies - fluid/diet changes
Medications - 4/8 weeks
The evaluate for advanced therapies
When are you considered refractory
After failing behavioral therapy and one anti-muscadine for 4/8 weeks
First line therapies
Behavioral therapies and pelvic floor training
Second line therapies
Anti musca rinitis and transdermal formulations