The Overactive Bladder: Prevalence and Effects on Quality of Life

Davila, G. Willy; Неймарк, М. И.

doi:10.1097/00003081-200203000-00019

Cited by 32 publications

(24 citation statements)

References 30 publications

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“…This was not a surprise considering the unpredictability of urgency symptoms and urine loss. Davila and Neimark [10] found that, regardless of the instrument used, OAB has been shown to have a more significant impact on quality of life than stress urinary incontinence.…”

Section: Discussionmentioning

confidence: 99%

Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

et al. 2008

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The purpose of this study is to compare the effectiveness of oxybutynin, functional electrostimulation (FES), and pelvic floor training (PFT) for treatment of women with detrusor overactivity. Sixty-four subjects were randomized to oxybutynin (n=22), FES (n=21), or PFT (n=21). Women were evaluated before and after completion of 12 weeks of treatment by subjective response, voiding diary, and urodynamic test. There was subjective symptomatic improvement in 77% of the women treated with oxybutynin, 52% with FES, and 76% with PFT. Urgency resolved in 64% of women treated with oxybutynin, 52% with FES, and in 57% with PFT. Urodynamic evaluation was normal in 36% treated with oxybutynin, 57% with FES, and 52% with PFT. Maximum detrusor involuntary contraction pressure decreased in all groups (p<0.05). All treatments were equally effective. Subjective reduction of urge-incontinence episodes was associated with symptomatic improvement.

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Section: Discussionmentioning

confidence: 99%

Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

et al. 2008

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“…The success rates for ES have been reported as 50–80% [20]. Most studies concerning ES treatment of OAB do not have a control group and show variations in results, which may be explained by differences in patient selection, treatment protocols, electrical specifications, outcome measures, and length of follow-up [5,9,21,22,23,24,25,26]. …”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effects of Electrical Stimulation and Posterior Tibial Nerve Stimulation in the Treatment of Overactive Bladder Syndrome

Uğurlucan

Önal

Aslan

et al. 2012

Gynecol Obstet Invest

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Aim: To compare the effects of transvaginal electrical stimulation (ES) and posterior tibial nerve stimulation (PTNS) in the treatment of overactive bladder syndrome (OAB). Methods: Women applying with symptoms of urgency, frequency, and nocturia with or without incontinence and diagnosed with OAB were divided into an ES or PTNS group. Bladder diary, urodynamics, 1-hour pad test, and King’s Health Questionnaire were performed before and after treatment. ES was applied for 20 min, 6–8 weeks with pulses of 10–50 Hz square waves at a 300-µs or 1-ms pulse duration and a maximal output current of 24–60 mA with 5–10 Hz frequency, three times per week. PTNS was applied for 30 min once a week for 12 weeks. Results: Thirty-five patients received ES, 17 patients received PTNS. Pad test, urinary diary, and quality of life parameters after both treatments decreased significantly; the decrease in the ES group was greater. The number of patients who describe themselves as cured was higher in the ES group. Conclusion: PTNS and ES are both effective in the treatment of OAB with significant improvement in objective and subjective parameters. Objective results show no significant difference between the two groups; however, the number of patients who describe themselves as cured in the ES group was significantly higher.

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“…Incluem-se entre aqueles: aumento da freqüência urinária, descoberta da localização de banheiros, dietas restritivas, limitação da atividade física e, nos casos mais graves, limitação das atividades sociais. Isto pode resultar em isolamento secundário, não permitindo a visitação de lugares de encontro, como centros de compra, igrejas e reuniões familiares 20 . Forma-se um ciclo vicioso de ansiedade e sofrimento relacionado à possível perda urinária.…”

Section: Questionários De Qualidade De Vidaunclassified

“…Forma-se um ciclo vicioso de ansiedade e sofrimento relacionado à possível perda urinária. Junte-se a isto o sentimento de vergonha e gradativa piora da urgência miccional pela angús-tia internalizada que freqüentemente leva a importante incômodo psicológico e variado grau de isolamento social 20 . Instrumentos de aferição da qualidade de vida são comumente utilizados na avaliação de doenças ou de tratamentos para a determinação da percepção individual física, psicológica e bem-es-…”

Section: Questionários De Qualidade De Vidaunclassified

Diagnóstico clínico e subsidiário da incontinência urinária

Feldner¹,

Sartori²,

Lima³

et al. 2006

Rev. Bras. Ginecol. Obstet.

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RESUMOOs sintomas do trato urinário feminino são inespecíficos e se faz necessário correta investigação clínica para se estabelecer o diagnóstico da incontinência urinária. Tal avaliação consiste em história clínica, questionário de qualidade de vida, exame físico, diário miccional, teste do absorvente e estudo urodinâmico. O estudo urodinâmico é extensão da história e do exame físico para melhor avaliar a etiologia das queixas das pacientes. O objetivo deste artigo é revisar os métodos utilizados para o diagnóstico clínico e subsidiário da incontinência urinária. PALAVRAS-CHAVE: Incontinência urinária; Diagnóstico clínico; Urodinâmica ABSTRACTFemale lower urinary tract symptoms are nonspecific and a clinical evaluation is required to establish the correct diagnosis. Such evaluation should consist of a structured micturition history or questionnaire, physical examination, micturition diary, pad test, and urodynamic evaluation. Urodynamic investigation was developed as an extension of patient history and physical examination in order to reveal the etiology of the patient's complaints. The goal of the present article is to review clinical and subsidiary diagnosis of urinary incontinence.

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The Overactive Bladder: Prevalence and Effects on Quality of Life

Cited by 32 publications

References 30 publications

Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women

Comparison of the Effects of Electrical Stimulation and Posterior Tibial Nerve Stimulation in the Treatment of Overactive Bladder Syndrome

Diagnóstico clínico e subsidiário da incontinência urinária

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