Guidelines for the Management of Women with Overactive Bladder
Article Sidebar
Main Article Content
Abstract
Overactive bladder is a common condition in women, and is characterized by urgency, frequency urination, and nocturnal urination, with or without urine leakage. The condition has a significant impact on quality of life, leading to physical, emotional, and social problems. Effective management requires a comprehensive approach that includes behavior modification, medication, and, in some cases, surgery. Behavior modification, such as bladder training, fluid control, and pelvic floor muscle exercises, and medications, such as anticholinergics and beta-3 agonists, may be used. For women with overactive bladder who have not received these treatments, Botox injections, nerve stimulation devices, or bladder muscle strengthening surgery may be used. In addition, psychosocial support and education are important for care, helping patients manage their emotions and adhere to treatment plans, resulting in improved quality of life for women with overactive bladder.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Bunyawetchawin, S. (2015). Validity of the overactive bladder symptoms questionnaire (OABSS) with the international
prostate symptom score (IPSS) and the patient perception of bladder condition (PPBC) questionnaire. Journal of
the Medical Association of Thailand, 98(11), 1064-1074. [In Thai].
Cayir, G., & Beji, N, K. (2022). The effect of a counseling and training program on the treatment of women with
overactive bladder. Psychology, Health & Medicine, 27(8), 1726-1738.
Celenary, S. T., Karkut, Z., Oskay, K., & Aydin, A. (2023). The effect of pelvic floor muscle training combined with
Kinesio taping on bladder symptoms, pelvic floor muscle strength, and quality of life in women with overactive
bladder syndrome: A randomized sham-controlled trial. Physiotherapy Theory and Practice, 38(2), 266-275.
Chae,Y., Yoo, E. H., Jeong, Y., Pyeon, S., & Kim, D. (2018). Risk factors and factors affecting the severity of overactive
bladder symptoms in Korean women who use public health centers. Obstetric Gynecology Science, 61(3),
-412.
Chang, Y- W., Lo, T-S., Chang, H. N., Sino, Y. H., & Yeh, Y. C. (2020). Laser acupuncture alleviates symptoms and
improves quality of life in women with overactive bladder: A double-blind, pilot randomized controlled trial.
Evidence-Based Complementary and Alternative Medicine, 1-11. doi.org/10.1155/2020/1705964
Corcos, J., Przydacz, M., Campeare, L., Witten, J., Hickling, D., Honeire, C., …Wagg, A. (2017). CUA guideline on adult
overactive bladder. Canadian Urology Association Journal, 11(5), e142-e173.
Coyne, K. S., Louis, S., Matza, L. S., Kopp, Z., & Abrams, P. (2006). The evaluation of the patient perception of bladder
condition (PPBC): A single-item global measure for patients with overactive bladder. Neuro-Urology, 49(6),
-1086.
Herbert, J. (2019). The conservative assessment and treatment of mixed urinary and anal incontinence in women:
a multidisciplinary approach. Urology News, 23(6), Retrieved from https://www.urologynews.uk.com/features/ features/post/the-conservative-assessment-and-treatment-of-mixed-urinary-and-anal-incontinence-in-women-a-multidisciplinary-approach.
Honglutsakul, C. (2019). Prevalence of female overactive bladder in Bangkok Metropolis Administration (BMA) officer,
urban city. Retrieved from https: //www.ics.org/2019/abstract/578. [In Thai].
Huang, S., Guo, C., Tai, S., Ding, H., Mao, D., Huang, J., …Qian, B. (2021). Prevalence of overactive bladder in Chinese
women: A systematic review and meta-analysis. PloS one, 18(12), e0290396.
https://doi.org/10.1371/journal.pone.0290396
Hutchinson, A., Nesbitt, A., Joshi, A., Clubb, A., & Parera, M. (2020). Overactive bladder syndrome: management and
treatment options. Australia Journal General Practice, 49, 593-598.
Irer, B., Sen, V., Bozkurt, O., Denir, O., & Esen, A. (2018). Prevalence and possible risk factors of overactive bladder
symptom in women living in the city of Iznir. Original Research, 5(3), 180-187.
Kim, S. K., & Kim, S. H. (2020). The impact of overactive bladder on health-related quality of life in Korea: based on the
results of a Korean community of health survey. Quality of Life Research, 30, 1017-1024.
King, L. A., Pruszynski, J. E., Wai, C. Y., & Florian-Rodiquez, M. E. (2024). Trends of overactive bladder and
pharmacologic treatment among U.S. women. Urogynecology 31(9), 871-881.
DOI: 10.1097/SPV.0000000000001575
Kochakarn, W., & Setthawong, V. (2018). Overactive Bladder (OAB) Knowledge Guide for the Public. Retrieved from
https://www.rama.mahidol.ac.th/ramaclinic/sites/default/files/public/OAB%20e-Booklet.pdf. [In Thai].
Kurosch, M., Mager, R., Gust, K., Brandt, M., Borgmanz, H., & Haferkamp, A. (2015). Therapy of overactive bladder.
Urologe A, 54, 567-74.
Leron, E., Weintraub, A. Y., Mastrolia, S. A. & Schwanzman, P. (2017). Overactive bladder syndrome: Evaluation and
management. Current Urology, 11, 117-125. doi.10.1159/000447205
Lin, X. Y. (2021). An update on vaginal oestrogen for overactive bladder: Reporting the literature. Autralian & New
Zealand Continence Journal, Winter, 27(2), 40-46.
Lucio, A., Lourenco, C. B., Damasceno, B. P., Moraes Lopes, M. H., & D’ancona, C. A. (2019). The effect of pelvic floor
muscle contraction on detrusor overactivity pressure in neurogenic and nonneurogenic women during
urodynamic study: A cross-sectional study. American Journal of Physical Medicine and Rehabilitation, 98,
-279. doi:10.1097/PHM.0000000000001065.
Madhu, C., Enki, D., Drake, M. L., & Hashim, H. (2015). The functional of cigarette smoking in women on the lower
urinary tract. Urologia Internationalis, 95(4), 478-82.
Mckeller, K., Bellin, E., Schoenbaum, E., & Abraham, N. (2019). Prevalence, risk factor, and treatment for overactive
bladder in racially diverse population. Urology, 126, 70-75.
National Institute for Health and Care Excellence. (2019). Urinary incontinence and pelvic organ prolapse in women:
Management. NICE guideline [NG123] NICE, London. Retrieved from http://www.nice.org.uk/guidance/ng123.
Nicoletti, M., Tyus, L., & Novosel, L. M. (2020). Improving quality of life among women with overactive bladder
through pelvic floor muscle therapy with electric stimulation. Urologic Nursing, 40(4), 187-193.
Peyronnet, B., Mironsk, E., Chapple, C., Cardoza, L., Oelke, M., Dmochowski, R., …Corner, J. (2019). A comprehensive
review of overactive Bladder pathophysiology on the way to tailored treatment. European Urology, 75(6),
-1000.
Przydacz, M., Golabek, T., Dudek, P., Lipinski, M., & Chlosta, P. (2020). Prevalence and bother of lower urinary tract
symptoms and overactive bladder in Poland, an Eastern European Study. Scientific reports, 10(1), 19819.
https://doi.org/10.1038/s41598-020-76846-0
Qudah, S., Abufaraj, M., Farah, R., Almazeedi, A., Ababneh, A., Alnabulsi, M., … Ajlauni, K. (2023). The prevalence of
overactive bladder and its impact on the quality of life: A cross sectional study. Arab Journal of Urology, 22(1),
-47.
Scarneciu, L., Lupu, S., Bratu, O. G., Teodorescu, A., Maxim, L. S., Brinza, A., …Scarneciu, C. C. (2021). Overactive
bladder: A review and update. Experimental and Therapeutic Medicine, 22(6), 1444.
Thai Urology Association. (2020). Physician's Guide to the Care of Patients with Overactive Bladder in Thailand.
Bangkok: Idea Instant Printing. [In Thai].
Thomas, T. N., & Walters, M. D. (2020). Clinical consensus statement: Association of anticholinergic medication use and
cognition in women with overactive bladder. American Urogynecologic Society Update, doi:10.1097/SPV.0000000000000423
Toozs-Hobson, P., & Robinson, D. (2019). Managing the symptom of overactive bladder. The Pharmaceutical Journal.
Retrieved from https://pharmaceutical-journal.com/article/ld/managing-the-symptoms-of-overactive-bladder
Willis-Gray, M. G., Dieter, A. A., & Geller, E. J. (2016). Evaluation and management of overactive bladder: Strategies for
optimizing care. Research and Reports in Urology, 8, 113-122.
Yates, A. (2023). Overactive bladder syndrome: what community nurses should know. Journal Community Nursing,
(1), 31-36.
Zhu, J., Hu, X., Dong, X., & Li, L. (2019). Associations between risk factors and overactive bladder: A meta-analysis.
Female Pelvic Medicine & Reconstructive Surgery, 25(3), 238-246.
Zoe, O. (2016). Assessment, diagnosis and treatment of urinary incontinence in women. British Journal of Nursing,
(6), 84-91.
