Published in:
01-12-2020 | Overactive Bladder | Overactive Bladder (U Lee and S Adelstein, Section Editors)
Treatment of Overactive Bladder in the Frail Patient
Authors:
Sage Vincent, Anthony Tokarski, Alana Murphy
Published in:
Current Bladder Dysfunction Reports
|
Issue 4/2020
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Abstract
Purpose of Review
To understand how frailty interacts with overactive bladder. To explore how frailty should be considered when devising an individualized treatment plan for OAB patients.
Recent Findings
Frailty can be assessed in the outpatient office without undue burden. The urology community is increasingly aware of the importance of evaluating a patient for frailty and including this assessment in treatment algorithms. Frailty should be considered when treating OAB patients, since frail OAB patients are more susceptible to the potential deleterious consequences of medical therapy, onabotulinumtoxinA therapy, and sacral neuromodulation.
Summary
A patient’s frailty status should be considered during counseling regarding OAB therapy. Additional studies are needed to examine the treatment effects and risks in the frail OAB population.