Chapter

OAB, LUTS, and BPH—a paradigm shift

Alexander Roosen

in Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms in Men

Published on behalf of Oxford University Press

ISBN: 9780199572779
Published online January 2012 | e-ISBN: 9780199607501 | DOI: http://dx.doi.org/10.1093/med/9780199572779.003.0006

Series: Oxford Urology Library

OAB, LUTS, and BPH—a paradigm shift

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• “Overactive bladder” is a merely clinical diagnosis, comprising urgency, with or without urge incontinence (OAB-wet and OAB-dry), and either or both frequency and nocturia • “Detrusor overactivity” (DO) is a urodynamic finding which may or may not underlay OAB, and has two types: phasic and terminal DO, the latter usually being of neurogenic origin • “LUTS” comprise storage/OAB symptoms, voiding symptoms, and postmicturition symptoms. They equally affect men and women and are rather age- than gender-related • In female OAB, antimuscarinics should be applied for 6–12 weeks before commencing invasive diagnostics. In the male, A1-receptor antagonists should first be tried alone, followed by a combination with antimuscarinics.

Chapter.  1806 words.  Illustrated.

Subjects: Genito-urinary Medicine

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