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How Do Urodynamics Findings Influence the Treatment of the Typical Patient With Overactive Bladder?

  • Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors)
  • Published:
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Abstract

Overactive bladder (OAB) is a clinical symptom complex whose hallmark is the symptom of urinary urgency, usually accompanied by frequency and nocturia, with or without urgency incontinence. Historically, urodynamics (UDS) evaluation has not been recommended in the initial evaluation of OAB, since it is defined primarily by clinical symptoms. As the pathophysiology of the OAB complex has become more clearly elucidated from recent studies, the role of UDS has again become a topic of discussion as a tool that can provide objective data to reflect these new findings. The utility of UDS in the diagnosis and treatment of OAB is still evolving, but in certain clinical scenarios, especially when empiric treatment has failed, it can provide definitive information that can identify associated pathologies and/or alter the treatment course. Herein, we will discuss the current literature regarding use of UDS in OAB patients and offer our own opinions as to its use.

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Disclosure

M.P. Rutman, D.Y. Cha and J.G. Blaivas have nothing to disclose.

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Authors and Affiliations

  1. Department of Urology, Columbia University College of Physicians and Surgeons, New York, NY, USA

    Matthew P. Rutman & Doh Yoon Cha

  2. Department of Urology, SUNY-Downstate Medical Center, Weill Medical College of Cornell University, New York, NY, USA

    Jerry G. Blaivas

  3. Department of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 11th Floor, 161 Fort Washington Ave., New York, NY, 10032, USA

    Matthew P. Rutman

Authors
  1. Matthew P. Rutman
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  2. Doh Yoon Cha
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  3. Jerry G. Blaivas
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Correspondence to Matthew P. Rutman.

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Rutman, M.P., Cha, D.Y. & Blaivas, J.G. How Do Urodynamics Findings Influence the Treatment of the Typical Patient With Overactive Bladder?. Curr Urol Rep 13, 370–378 (2012). https://doi.org/10.1007/s11934-012-0265-x

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  • DOI: https://doi.org/10.1007/s11934-012-0265-x

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