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Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 1/2015

01-03-2015 | Overactive Bladder (U Lee, Section Editor)

Challenges in the Treatment of Overactive Bladder in the Octogenarian Female

Author: Lisa Rogo-Gupta

Published in: Current Bladder Dysfunction Reports | Issue 1/2015

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Abstract

The purpose of this paper is to discuss overactive bladder (OAB) treatment in the octogenarian female with focus on diagnosis, treatment options, and recent advances relevant to practicing physicians. OAB treatment in the octogenarian female should be individualized. Each patient has her own physical and mental limitations, support system, and treatment expectations. Physicians should assess patients in the overall context of their medical conditions and lifestyle, identify and treat reversible causes, reassess symptoms and continence goals, devise a feasible treatment plan, and follow for symptom improvement. Behavior and lifestyle modifications remain first line for OAB treatment in octogenarians. Age is not a contraindication to medical therapy. OAB procedures are generally low risk and require minimal or no anesthesia. Recent advances include two medications (Myrbetriq™, Oxytrol® for women) and three procedures (sacral neuromodulation, tibial nerve stimulation, onabotulinum toxin).
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Metadata
Title
Challenges in the Treatment of Overactive Bladder in the Octogenarian Female
Author
Lisa Rogo-Gupta
Publication date
01-03-2015
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 1/2015
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-014-0281-4

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