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[Overactive bladder-which treatment when?]

Authors
  • Pannek, J1
  • 1 Neuro-Urologie, Schweizer Paraplegiker-Zentrum, Guido A. Zäch-Straße 1, CH - 6207, Nottwil, Schweiz. [email protected]
Type
Published Article
Journal
Der Urologe. Ausg. A
Publication Date
Dec 01, 2017
Volume
56
Issue
12
Pages
1532–1538
Identifiers
DOI: 10.1007/s00120-017-0522-1
PMID: 29043374
Source
Medline
Keywords
License
Unknown

Abstract

The term OAB (overactive bladder) describes a symptom complex. Therefore, initial treatment should be based on clinical symptoms and the results of basic diagnostics. Patient preference is essential for the choice of the initial treatment. Behavioural therapy, electrostimulation and medical treatment are available treatment options. If these are not effective, extended diagnostic examinations should be performed prior to minimally invasive treatments, like onabotulinumtoxin injections in the detrusor or sacral neuromodulation. Surgical interventions like augmentation cystoplasty are rarely required today.

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