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Published in: Current Bladder Dysfunction Reports 1/2014

01-03-2014 | Overactive Bladder (U Lee, Section Editor)

History of the Term “Overactive Bladder”

Published in: Current Bladder Dysfunction Reports | Issue 1/2014

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Abstract

The history of the term overactive bladder touches many of the favorite controversies in urology; standardization of often subjective symptoms, the distinction between normal and disease, the role of industry, and the significance of a finding on urodynamic studies versus a patient’s chief complaint. This review explores the evolution of the term overactive bladder, from its popularization by Drs. Abrams and Wein in 1997 to the formalization by the ICS in 2002. We discuss the rationale for the use of the term over others, particularly the transition from multiple urodynamics based definitions to a symptoms-based definition and the arguments supporting as well as criticizing the shift. Lastly, we explore the history of pharmaceutical involvement surrounding the use of this term. The term overactive bladder is only 15 years old, but its invention and history drastically changed the way we discuss and treat voiding dysfunction, and its definition or perhaps, inevitable successor, could very well do the same in years to come.
Literature
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8.••
go back to reference Lee UJ, Scott VC, Rashid R, Behniwal A, Wein AJ, Maliski SL, et al. Defining and managing overactive bladder: disagreement among the experts. Urology. 2013;81(2):257–62. An interesting opinion poll of experts in the field discusses the defintion and workup of overactive bladder. Highlights the "art of medicine" even in our ever increasingly standardized field.PubMedCentralPubMedCrossRef Lee UJ, Scott VC, Rashid R, Behniwal A, Wein AJ, Maliski SL, et al. Defining and managing overactive bladder: disagreement among the experts. Urology. 2013;81(2):257–62. An interesting opinion poll of experts in the field discusses the defintion and workup of overactive bladder. Highlights the "art of medicine" even in our ever increasingly standardized field.PubMedCentralPubMedCrossRef
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go back to reference Tikkinen KA, Auvinen A. Does the imprecise definition of overactive bladder serve commercial rather than patient interests? Eur Urol. 2012;61(4):746–8. discussion 749–750. One of the more prominent critics of the role of industry in marketing and research of overactive bladder discusses commericial interests. See also response by Abrams and Wein below.PubMedCrossRef Tikkinen KA, Auvinen A. Does the imprecise definition of overactive bladder serve commercial rather than patient interests? Eur Urol. 2012;61(4):746–8. discussion 749–750. One of the more prominent critics of the role of industry in marketing and research of overactive bladder discusses commericial interests. See also response by Abrams and Wein below.PubMedCrossRef
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Metadata
Title
History of the Term “Overactive Bladder”
Publication date
01-03-2014
Published in
Current Bladder Dysfunction Reports / Issue 1/2014
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-013-0218-3

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