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Overactive bladder

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2856: 563:, can help strengthen the muscles that control urination. Fluid management, which focuses on avoiding excessive caffeine and alcohol intake, is advised to reduce the rate at which the bladder fills and minimize irritation to the bladder. Weight management and maintaining a healthy diet contribute to overall bladder health, especially when weight loss is able to reduce abdominal compression of the bladder. Adopting these behavioral and lifestyle changes can often improve the condition and enhance the effectiveness of other treatment approaches. 486:
specific to overactive bladder. General questionnaires include: American Urological Association Symptom Index (AUASI), Urogenital Distress Inventory (UDI), Incontinence Impact Questionnaire (IIQ), and Bristol Female Lower Urinary Tract Symptoms (BFLUTS). Overactive bladder questionnaires include: Overactive Bladder Questionnaire (OAB-q), Urgency Questionnaire (UQ), Primary OAB Symptom Questionnaire (POSQ), and the International Consultation on Incontinence Questionnaire (ICIQ).
101: 25: 505:(blood in the urine) which are typically absent in OAB. Bladder cancer usually includes hematuria and can include pain, both not associated with OAB, and the common symptoms of OAB (urgency, frequency, and nocturia) may be absent. BPH frequently includes symptoms at the time of voiding as well as sometimes including pain or hematuria, and all of these are not usually present in OAB. 939:. Botulinum Toxin A injections into the bladder wall can suppress involuntary bladder contractions by blocking nerve signals and may be effective for up to 9 months. The growing knowledge of pathophysiology of overactive bladder fueled a huge amount of basic and clinical research in this field of pharmacotherapy. 517:
There is some controversy about the classification and diagnosis of OAB. Some sources classify overactive bladder into two different variants: "wet" (i.e., an urgent need to urinate with involuntary leakage) or "dry" (i.e., an urgent need to urinate but no involuntary leakage). Wet variants are more
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is considered abnormal if the person urinates more than eight times in a day. This frequency is usually monitored by having the person keep a voiding diary where they record urination episodes. The number of episodes varies depending on sleep, fluid intake, medications, and up to seven is considered
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is increasing. However, a recent Finnish population-based survey suggested that the number of people affected had been largely overestimated due to methodological shortcomings regarding age distribution and low participation (in earlier reports). It is suspected, then, that OAB affects approximately
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Patients taking oxybutynin and other anticholinergic drugs experience a 70% reduction of incontinence episode frequency, on average. Approximately 1 in 4 patients experience complete dryness while taking oxybutynin. Therefore, medication management alone is sufficient for a substantial minority, but
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It is important that the clinician and the person with overactive bladder both reach a consensus on the term, 'urgency.' Some common phrases used to describe OAB include, 'When I've got to go, I've got to go,' or 'When I have to go, I have to rush, because I think I will wet myself.' Hence the term,
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is a symptom where the person complains of interrupted sleep because of an urge to void and, like the urinary frequency component, is affected by similar lifestyle and medical factors. Individual waking events are not considered abnormal, one study in Finland established two or more voids per night
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Overactive bladder affects approximately 11% of the population and more than 40% of people with overactive bladder have incontinence. Conversely, about 40% to 70% of urinary incontinence is due to overactive bladder. Overactive bladder is not life-threatening, but most people with the condition have
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Psychometrically robust self-completion questionnaires are generally recognized as a valid way of measuring a person's signs and symptoms, but there does not exist a single ideal questionnaire. These surveys can be divided into two groups: general surveys of lower urinary tract symptoms and surveys
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Because overactive bladder is most commonly associated with aging, the majority of patients experience symptoms (with or without incontinence) for the rest of their lives. A minority of age-related OAB cases may be cured or indefinitely suppressed by medications and behavioral modification. If the
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Most patients are not able to eliminate incontinence and other symptoms of OAB with lifestyle and behavioral modifications alone. However, numerous studies have demonstrated that these therapies are effective in improving quality of life, and some data shows that they increase the likelihood that
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Urge incontinence is a form of urinary incontinence characterized by the involuntary loss of urine occurring for no apparent reason while feeling urinary urgency as discussed above. Like frequency, the person can track incontinence in a diary to assist with diagnosis and management of symptoms.
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Overactive bladder is estimated to occur in 7–27% of men and 9–43% of women. It becomes more common with age. Some studies suggest that the condition is more common in women, especially when associated with loss of bladder control. Economic costs of overactive bladder were estimated in the United
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type, are only recommended if other measures are not effective. They are no more effective than behavioral methods; however, they are associated with side effects, particularly in older people. Some non-invasive electrical stimulation methods appear effective while they are in use. Injections of
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The usual first suggested treatment for a person with overactive bladder is a combination of lifestyle changes, exercises to strengthen the person's pelvic floor, and manage how much the person drinks and when during the day ("fluid management"). Patients who continue to experience incontinence
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is considered the hallmark symptom of OAB, but there are no clear criteria for what constitutes urgency and studies often use other criteria. Urgency is currently defined by the International Continence Society (ICS), as of 2002, as "Sudden, compelling desire to pass urine that is difficult to
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The American Urological Association reports studies showing rates as low as 7% to as high as 27% in men and rates as low as 9% to 43% in women. Urge incontinence was reported as higher in women. Older people are more likely to be affected, and the number of symptoms increases with age.
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Behavioral and lifestyle changes are commonly recommended as the first-line option for treating overactive bladder. These include bladder training, which involves scheduled voiding (urination) and gradually increasing the time between bathroom visits. Pelvic floor exercises, known as
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Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (October 1994). "Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group".
290:) may occur with this condition. This condition is also sometimes characterized by a sudden and involuntary contraction of the bladder muscles, in response to excitement or anticipation. This in turn leads to a frequent and urgent need to urinate. 313:
may worsen the symptoms. People often have the symptoms for a long time before seeking treatment and the condition is sometimes identified by caregivers. Diagnosis is based on a person's signs and symptoms and requires other problems such as
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Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, Das AK, Foster HE, Scarpero HM, Tessier CD, Vasavada SP (December 2012). "Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline".
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Scarneciu, Ioan; Lupu, Sorin; Bratu, Ovidiu Gabriel; Teodorescu, Andreea; Maxim, Laurian Stefan; Brinza, Adrian; Laculiceanu, Alexandru Georgian; Rotaru, Ruxandra Maria; Lupu, Aura-Mihaela; Scarneciu, Camelia Cornelia (2021-10-14).
969:, which is part of the small intestine. This procedure is rarely performed, and is only done for patients who have proven resistant to all other forms of treatment. This procedure can greatly enlarge urine volume in the bladder. 434:. It is also possible that the increased contractile nature originates from within the urothelium and lamina propria, and abnormal contractions in this tissue could stimulate dysfunction in the detrusor or whole bladder. 1271:
Hargreaves, Emma; Baker, Katherine; Barry, Gill; Harding, Christopher; Zhang, Yingying; Kandala, Ngianga-Bakwin; Zhang, Xiaowen; Kernohan, Ashleigh; Clarkson, Carl E (2022-09-23). Cochrane Incontinence Group (ed.).
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defer." The previous definition was "Strong desire to void accompanied by fear of leakage or pain." The definition does not address the immediacy of the urge to void and has been criticized as subjective.
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Tikkinen KA, Johnson TM, Tammela TL, Sintonen H, Haukka J, Huhtala H, Auvinen A (March 2010). "Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland".
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common than dry variants. The distinction is not absolute; one study suggested that many classified as "dry" were actually "wet" and that people with no history of any leakage may have had other syndromes.
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Milsom I, Abrams P, Cardozo L, Roberts RG, Thüroff J, Wein AJ (June 2001). "How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study".
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is in place, the catheter may be blocked by blood, thick sediment, or a kink in the catheter or drainage tubing. Sometimes spasms are caused by the catheter irritating the bladder,
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had OAB. The number of people affected with OAB increases with age, thus it is expected that OAB will become more common in the future as the average age of people living in the
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If non-invasive and pharmacological approaches are not helpful, some people may be eligible for a surgical procedure to treat overactive bladder. Surgical options may include
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Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R, Hunt TL, Wein AJ (May 2003). "Prevalence and burden of overactive bladder in the United States".
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Gormley EA, Lightner DJ, Faraday M, Vasavada SP (May 2015). "Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment".
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10% of Caucasians and 19% of black people have a genetic difference which causes them to lack a certain enzyme. Lack of this enzyme makes the drug less effective.
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10% of Caucasians and 19% of black people have a genetic difference which causes them to lack a certain enzyme. Lack of this enzyme makes the drug less effective.
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The amount of urine passed during each urination is relatively small. Pain while urinating suggests that there is a problem other than overactive bladder.
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Urge incontinence can also be measured with pad tests, and these are often used for research purposes. Some people with urge incontinence also have
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Several sections with inaccurate or outdated information; lack of compliance with Manual of Style; excessive inline citations; copyediting issues.
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Sacco E, et al. (2009). "Investigational drug therapies for overactive bladder syndrome: the potential alternatives to anticholinergics".
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Sacco E, Pinto F, Bassi P (April 2008). "Emerging pharmacological targets in overactive bladder therapy: experimental and clinical evidences".
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and causes urine to pass out of it. Both invasive and non-invasive electrical stimulation procedures may be used to treat overactive bladder.
1756:"Urothelial/lamina propria spontaneous activity and the role of M3 muscarinic receptors in mediating rate responses to stretch and carbachol" 2065:
Anger JT, Le TX, Nissim HA, Rogo-Gupta L, Rashid R, Behniwal A, Smith AL, Litwin MS, Rodriguez LV, Wein AJ, Maliski SL (November 2012).
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Sacco E, Paolillo M, Totaro A, Pinto F, Volpe A, Gardi M, Bassi PF (2008). "Botulinum toxin in the treatment of overactive bladder".
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Diagnosis of OAB is made primarily on the person's signs and symptoms and by ruling out other possible causes such as an infection.
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One surgical intervention, called a cystoplasty, involves the enlargement of the bladder using tissue taken from the patient's
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The cause of OAB is usually unclear, and indeed there may be multiple causes. It is often associated with overactivity of the
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Sacco E, Bientinesi R (2012). "Future perspectives in pharmacological treatments options for overactive bladder syndrome".
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episodes, or who express a desire for medication along with therapy, may be treated with several classes of drugs, notably
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Araklitis G, Cardozo L (November 2017). "Safety issues associated with using medication to treat overactive bladder".
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to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day,
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Sacco E, Bientinesi R, Marangi F, D'Addessi A, Racioppi M, Gulino G, Pinto F, Totaro A, Bassi P (2011). "".
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Tikkinen KA, Tammela TL, Rissanen AM, Valpas A, Huhtala H, Auvinen A (February 2007). Madersbacher S (ed.).
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Overactive bladder may be treated with electrical stimulation, which aims to reduce the contractions of the
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are generally not recommended. A diary to track problems can help determine whether treatments are working.
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Hutchinson, Alexander; Nesbitt, Alexander; Joshi, Andre; Clubb, Adrian; Perera, Marlon (Sep 2020).
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Medications are a common treatment option for people with overactive bladder syndrome. A number of
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Lightner, Deborah J.; Gomelsky, Alexander; Souter, Lesley; Vasavada, Sandip P. (September 2019).
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consumption, and drinking moderate fluids, can also have benefits. Medications, typically of the
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Sussman DO (September 2007). "Overactive bladder: treatment options in primary care medicine".
959: 943: 547: 427: 203: 3542: 1793: 1354: 1322: 1241: 1092:"Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline" 607:) are frequently used to treat overactive bladder. Long term use, however, has been linked to 3300: 3167: 3044: 3007: 1503: 381:
Overactive bladder is characterized by a group of four symptoms: urgency, urinary frequency,
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Ouslander, Joseph; Reyes, Bernardo (2022). "Chapter 477: Caring for the Geriatric Patient".
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The cause of overactive bladder is unknown. Risk factors include obesity, caffeine, and
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Nowakowski Ł, Futyma K, Ziętek A, Bogusiewicz M, Gałczyński K, Rechberger T (2016).
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Stewart F, Gameiro LF, El Dib R, Gameiro MO, Kapoor A, Amaro JL (December 2016).
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Coyne K, Schmier J, Hunt T, Corey R, Liberman J, Revicki D (March 2000).
1859:"Objective Evaluation of Overactive Bladder: Which Surveys Should I Use?" 1796:. MedlinePlus, the National Institutes of Health's Web site. 2010-03-09. 1694: 905: 880: 817: 792: 771: 596: 592: 584: 580: 467: 341: 227: 183: 2224: 2067:"How dry is "OAB-dry"? Perspectives from patients and physician experts" 442:
If bladder spasms occur or there is no urine in the drainage bag when a
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less researched for safety and efficacy than Tolterodine and Oxybutynin
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less researched for safety and efficacy than Tolterodine and Oxybutynin
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less researched for safety and efficacy than Tolterodine and Oxybutynin
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Weill Cornell Medical College Department of Urology. Archived from
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Specific treatment is not always required. If treatment is desired
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causes high frequency and volume, though not necessarily urgency.
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injury; over-consumption of water and caffeine; UTI; pelvic injury
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International Urogynecology Journal and Pelvic Floor Dysfunction
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Earlier reports estimated that about one in six adults in the
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OAB causes similar symptoms to some other conditions such as
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Campbell-Walsh Urology, Tenth Edition, Chapter 66, Page 1948
1589:"Symptom-based diagnosis of overactive bladder: an overview" 1327:. Rochester, MN: Mayo Clinic Scientific Press. p. 339. 2437: 2197: 1444: 1270: 830:
higher rates of constipation and dry mouth than tolterodine
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available as generic in places including the United States
430:, a pattern of bladder muscle contraction observed during 340:, and other behavioral methods are initially recommended. 1179: 733:
patch commonly causes skin irritation which can be severe
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States at US$ 12.6 billion and 4.2 billion Euro in 2000.
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Chancellor, Michael B; Christopher Smith (August 2011).
501:(BPH). Urinary tract infections often involve pain and 454:. Such spasms can be controlled with medication such as 198:
Based on symptoms after ruling out other possible causes
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Condition where a person has a frequent need to urinate
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Moro C, Uchiyama J, Chess-Williams R (December 2011).
418:'fear of leakage,' is an important concept to people. 2752: 2750: 1952: 1823:"Five Things Physicians and Patients Should Question" 3420: 2793: 1505:
Overactive bladder syndrome and urinary incontinence
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half the number of individuals as earlier reported.
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The Journal of the American Osteopathic Association
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available in market longer than other drugs for OAB
631:the majority, of patients with overactive bladder. 553: 2747: 2157:Obstetrics and Gynecology Clinics of North America 1353: 931:in adults with neurological conditions, including 2951: 1508:. Oxford: Oxford University Press. pp. 7–8. 848:severe dry mouth less common than with oxybutynin 827:More effective for some symptoms than Tolterodine 3567: 2415:"FDA approves Botox for loss of bladder control" 2282: 2151:White, Nicola; Iglesia, Cheryl B. (2016-03-01). 1747: 1582: 1580: 1578: 1393:Ruxton K, Woodman RJ, Mangoni AA (August 2015). 1345: 730:lower rate of dry mouth as compared to pill form 2696: 2694: 2528: 2509: 2325: 2122:, Treasure Island (FL): StatPearls Publishing, 978:OAB is due to a different condition, such as a 908:, but does not require that enzyme to be active 804:fewer side effects than short-acting Oxybutynin 779:fewer side effects than short-acting Oxybutynin 752:fewer side effects than short-acting Oxybutynin 702:fewer side effects than short-acting Oxybutynin 670:more side effects than alternatives, including 2257: 1904: 1902: 1324:Mayo Clinic internal medicine concise textbook 437: 3196: 2937: 2375:Diokno, Ananias; Ingber, Michael (Nov 2006). 1575: 927:Botulinum toxin A (Botox) is approved by the 911:it may avoid drug interactions of Tolterodine 664:many studies provide support of effectiveness 399:normal if consistent with the other factors. 2691: 2374: 2150: 1722: 1720: 1526: 637:Comparison of overactive bladder medication 567:medications can keep the OAB under control. 2113: 1899: 1856: 1451:The Cochrane Database of Systematic Reviews 261:~40% of elderly adults, increasing with age 3203: 3189: 2944: 2930: 2260:Harrison's Principles of Internal Medicine 1085: 1083: 1081: 1079: 1077: 1075: 1073: 1071: 1069: 1067: 1065: 1063: 1061: 1059: 1057: 414:and this can complicate clinical studies. 166:Age-related, or Secondary to other illness 99: 2838: 2828: 2722: 2674: 2643:"Overactive bladder: A review and update" 2351: 2223: 2090: 2003: 1970: 1882: 1717: 1612: 1550: 1478: 1418: 1297: 1235: 1233: 1175: 1173: 1171: 1169: 1167: 1165: 1163: 1161: 1125: 1123: 1121: 1119: 1055: 1053: 1051: 1049: 1047: 1045: 1043: 1041: 1039: 1037: 758:applied to abdomen, arms, or thighs daily 68:Learn how and when to remove this message 2262:(21st ed.). New York: McGraw Hill. 1399:British Journal of Clinical Pharmacology 1090:American Urological Association (2014). 188:Old age, obesity, caffeine, constipation 2427:from the original on 24 September 2015. 2326:Sacco E, Bientinesi R (December 2012). 1811: 1726: 1593:Canadian Urological Association Journal 1278:Cochrane Database of Systematic Reviews 3568: 2204:Australian Journal of General Practice 1501: 1230: 1158: 1116: 1034: 542:interventions, such as treatment with 3184: 3106:Urologic chronic pelvic pain syndrome 2925: 2647:Experimental and Therapeutic Medicine 2571: 2377:"Oxybutynin in Detrusor Overactivity" 2253: 2251: 2146: 2144: 2142: 1985: 1680: 1440: 1438: 1320: 1239: 949: 944:muscle that tenses around the bladder 914:little existing research on this drug 873:little existing research on this drug 764:little existing research on this drug 376: 2917:. U.S. National Library of Medicine. 2114:Harris, Shauna; Riggs, John (2024), 1586: 1243:Danforth's obstetrics and gynecology 680:severe dry mouth more often reported 361:into the bladder is another option. 18: 1863:Current Bladder Dysfunction Reports 1835:, American Urogynecologic Society, 1017:National Association For Continence 13: 2608: 2248: 2139: 1435: 14: 3587: 2866: 2381:Urologic Clinics of North America 1857:Shy M, Fletcher SG (March 2013). 1839:from the original on June 2, 2015 1264: 512: 478:may be done to exclude tumor and 2854: 2771:10.1046/j.1464-410x.2001.02228.x 2005:10.1111/j.1442-2042.2007.01907.x 1992:International Journal of Urology 1522:from the original on 2016-03-05. 1360:Eur J Obstet Gynecol Reprod Biol 1341:from the original on 2016-03-05. 1260:from the original on 2016-03-05. 554:Lifestyle and behavioral therapy 23: 3240:Costovertebral angle tenderness 2633: 2565: 2522: 2503: 2460: 2431: 2407: 2368: 2332:Therapeutic Advances in Urology 2319: 2276: 2191: 2107: 2058: 2028: 1979: 1946: 1850: 1819:American Urogynecologic Society 1800:from the original on 2010-12-04 1786: 1674: 1665: 1629: 1495: 985: 962:, or augmentation cystoplasty. 326:is also a good diagnostic aid. 125:Frequent feeling of needing to 3030:Neurogenic bladder dysfunction 1463:10.1002/14651858.CD010098.pub4 1386: 1314: 1290:10.1002/14651858.CD013519.pub2 1209: 570: 406:as affecting quality of life. 253:Often but not always incurable 1: 3035:Bladder sphincter dyssynergia 2297:10.1080/14740338.2017.1376646 2285:Expert Opinion on Drug Safety 1972:10.1016/s1098-3015(11)70554-x 1772:10.1016/j.urology.2011.08.039 1217:"Urinary Bladder, Overactive" 1027: 922: 528: 230:, medications, Botox, surgery 3350:Lower urinary tract symptoms 2830:10.1371/journal.pone.0000195 2116:"Mixed Urinary Incontinence" 1651:10.1016/j.eururo.2009.03.080 1372:10.1016/j.ejogrb.2016.10.054 972: 929:Food and Drug Administration 727:patch changed every 3–4 days 499:benign prostatic hyperplasia 461: 226:, drinking moderate fluids, 7: 1552:10.1097/JU.0000000000000309 1010: 523:stress urinary incontinence 438:Catheter-related irritation 94:Overactive bladder syndrome 43:. The specific problem is: 10: 3592: 2586:10.1177/039156030907600301 2481:10.1177/039156030807500102 2440:Botulinum Toxin in Urology 2083:10.1016/j.juro.2012.07.044 1195:10.1016/j.juro.2012.09.079 1144:10.1016/j.juro.2015.01.087 683:user takes 2-3 pills a day 3576:Urinary bladder disorders 3528: 3424: 3385: 3342: 3316: 3253: 3222: 3098: 3068:Non-gonococcal urethritis 3053: 2993: 2960: 2715:10.1007/s00345-002-0301-4 2543:10.1007/s00192-007-0529-z 2393:10.1016/j.ucl.2006.06.003 2169:10.1016/j.ogc.2015.10.002 1875:10.1007/s11884-012-0167-2 1240:Gibbs, Ronald S. (2008). 636: 421: 257: 247: 234: 215: 202: 192: 182: 170: 162: 154: 146: 136: 119: 107: 98: 90: 85: 3121:Retroperitoneal fibrosis 3040:Vesicointestinal fistula 2703:World Journal of Urology 2344:10.1177/1756287212457114 2216:10.31128/AJGP-11-19-5142 1986:Homma Y (January 2008). 1912:Quality of Life Research 658:well known by physicians 623:) may be used, as well. 316:urinary tract infections 3116:Urinary tract infection 1830:: an initiative of the 1587:Wein A (October 2011). 1321:Ghosh, Amit K. (2008). 980:urinary tract infection 491:urinary tract infection 320:neurological conditions 284:Loss of bladder control 210:neurological conditions 3372:Extravasation of urine 2659:10.3892/etm.2021.10879 2071:The Journal of Urology 1539:The Journal of Urology 1183:The Journal of Urology 1132:The Journal of Urology 960:sacral neuromodulation 613:β3 adrenergic receptor 548:sacral neuromodulation 428:detrusor urinae muscle 334:pelvic floor exercises 220:Pelvic floor exercises 204:Differential diagnosis 3045:Vesicoureteral reflux 3008:Interstitial cystitis 1502:Abrams, Paul (2011). 521:OAB is distinct from 3261:Urinary incontinence 3153:Urinary incontinence 3111:Obstructive uropathy 3023:Hemorrhagic cystitis 2911:"Overactive Bladder" 2887:10.5301/RU.2011.8886 2153:"Overactive Bladder" 2046:on 21 September 2013 2036:"Overactive Bladder" 1695:10.5301/RU.2012.8972 1681:Sacco E (2012). "". 1189:(6 Suppl): 2455–63. 301:. Poorly controlled 294:problems for years. 150:More common with age 50:improve this article 39:to meet Knowledge's 3286:Post-void dribbling 2821:2007PLoSO...2..195T 1794:"Urinary catheters" 1599:(Suppl 2): S135–6. 1022:Underactive bladder 904:same metabolite as 412:stress incontinence 311:chronic pelvic pain 307:functional mobility 243:drugs, β3 agonists 3529:External resources 3281:Nocturnal enuresis 3212:Signs and symptoms 3080:Urethral stricture 2985:Ureteric stricture 2423:. 24 August 2008. 2040:Cornell University 1924:10.1007/bf00451721 1605:10.5489/cuaj.11183 950:Invasive surgeries 937:spinal cord injury 933:multiple sclerosis 745:Topical medication 507:Diabetes insipidus 377:Signs and symptoms 268:Overactive bladder 86:Overactive bladder 3563: 3562: 3418: 3417: 3308:Urinary retention 3178: 3177: 3090:Urethral caruncle 3075:Urethral syndrome 2759:BJU International 2453:978-3-642-03579-1 2291:(11): 1273–1280. 1766:(6): 1442.e9–15. 1411:10.1111/bcp.12617 956:urinary diversion 920: 919: 717:transdermal patch 476:cystourethroscopy 396:Urinary frequency 363:Urinary catheters 344:in those who are 288:urge incontinence 265: 264: 194:Diagnostic method 80:Medical condition 78: 77: 70: 41:quality standards 32:This article may 3583: 3422: 3421: 3271:Diurnal enuresis 3245:Vesical tenesmus 3214:relating to the 3205: 3198: 3191: 3182: 3181: 2952:Diseases of the 2946: 2939: 2932: 2923: 2922: 2918: 2906: 2860: 2859: 2858: 2852: 2842: 2832: 2800: 2791: 2790: 2754: 2745: 2744: 2726: 2698: 2689: 2688: 2678: 2637: 2631: 2630: 2628: 2627: 2612: 2606: 2605: 2569: 2563: 2562: 2526: 2520: 2519: 2507: 2501: 2500: 2464: 2458: 2457: 2435: 2429: 2428: 2411: 2405: 2404: 2372: 2366: 2365: 2355: 2323: 2317: 2316: 2280: 2274: 2273: 2255: 2246: 2245: 2227: 2195: 2189: 2188: 2148: 2137: 2136: 2135: 2134: 2111: 2105: 2104: 2094: 2062: 2056: 2055: 2053: 2051: 2032: 2026: 2025: 2007: 1983: 1977: 1976: 1974: 1950: 1944: 1943: 1906: 1897: 1896: 1886: 1854: 1848: 1847: 1846: 1844: 1815: 1809: 1808: 1806: 1805: 1790: 1784: 1783: 1751: 1745: 1744: 1724: 1715: 1714: 1678: 1672: 1669: 1663: 1662: 1639:European Urology 1633: 1627: 1626: 1616: 1584: 1573: 1572: 1554: 1530: 1524: 1523: 1499: 1493: 1492: 1482: 1442: 1433: 1432: 1422: 1390: 1384: 1383: 1357: 1349: 1343: 1342: 1318: 1312: 1311: 1301: 1268: 1262: 1261: 1237: 1228: 1227: 1225: 1223: 1213: 1207: 1206: 1177: 1156: 1155: 1127: 1114: 1113: 1111: 1109: 1104:on 26 April 2015 1103: 1097:. Archived from 1096: 1087: 863:extended release 797:extended release 695:extended release 634: 633: 615:agonists (e.g., 536:anticholinergics 456:butylscopolamine 338:bladder training 322:to be excluded. 224:bladder training 103: 83: 82: 73: 66: 62: 59: 53: 27: 26: 19: 3591: 3590: 3586: 3585: 3584: 3582: 3581: 3580: 3566: 3565: 3564: 3559: 3558: 3524: 3523: 3433: 3419: 3414: 3400:Brewer infarcts 3381: 3338: 3312: 3249: 3218: 3209: 3179: 3174: 3094: 3085:Meatal stenosis 3049: 2989: 2956: 2950: 2909: 2869: 2864: 2863: 2853: 2801: 2794: 2755: 2748: 2699: 2692: 2638: 2634: 2625: 2623: 2620:www.nice.org.uk 2614: 2613: 2609: 2570: 2566: 2527: 2523: 2512:Eur Urol Review 2508: 2504: 2465: 2461: 2454: 2436: 2432: 2413: 2412: 2408: 2373: 2369: 2324: 2320: 2281: 2277: 2270: 2256: 2249: 2196: 2192: 2149: 2140: 2132: 2130: 2112: 2108: 2063: 2059: 2049: 2047: 2034: 2033: 2029: 1984: 1980: 1959:Value in Health 1951: 1947: 1907: 1900: 1855: 1851: 1842: 1840: 1832:ABIM Foundation 1828:Choosing Wisely 1821:(May 5, 2015), 1816: 1812: 1803: 1801: 1792: 1791: 1787: 1752: 1748: 1725: 1718: 1679: 1675: 1670: 1666: 1634: 1630: 1585: 1576: 1531: 1527: 1516: 1500: 1496: 1457:(2): CD010098. 1443: 1436: 1391: 1387: 1350: 1346: 1335: 1319: 1315: 1284:(9): CD013519. 1269: 1265: 1254: 1238: 1231: 1221: 1219: 1215: 1214: 1210: 1178: 1159: 1128: 1117: 1107: 1105: 1101: 1094: 1088: 1035: 1030: 1013: 1000:developed world 988: 975: 952: 925: 843:(short acting) 782:2 pills per day 774:(short-acting) 653:(short-acting) 573: 561:Kegel exercises 556: 544:botulinum toxin 531: 515: 464: 440: 424: 379: 359:botulinum toxin 354:anti-muscarinic 241:Anticholinergic 176:detrusor muscle 81: 74: 63: 57: 54: 47: 28: 24: 17: 12: 11: 5: 3589: 3579: 3578: 3561: 3560: 3557: 3556: 3554:article/459340 3545: 3533: 3532: 3530: 3526: 3525: 3522: 3521: 3510: 3499: 3488: 3469: 3454: 3434: 3429: 3428: 3426: 3425:Classification 3416: 3415: 3413: 3412: 3407: 3402: 3397: 3391: 3389: 3383: 3382: 3380: 3379: 3374: 3369: 3368: 3367: 3362: 3357: 3346: 3344: 3340: 3339: 3337: 3336: 3331: 3326: 3320: 3318: 3314: 3313: 3311: 3310: 3305: 3304: 3303: 3298: 3293: 3288: 3283: 3278: 3273: 3268: 3257: 3255: 3251: 3250: 3248: 3247: 3242: 3237: 3232: 3226: 3224: 3220: 3219: 3216:urinary system 3208: 3207: 3200: 3193: 3185: 3176: 3175: 3173: 3172: 3171: 3170: 3165: 3160: 3150: 3145: 3144: 3143: 3138: 3133: 3123: 3118: 3113: 3108: 3102: 3100: 3096: 3095: 3093: 3092: 3087: 3082: 3077: 3072: 3071: 3070: 3059: 3057: 3051: 3050: 3048: 3047: 3042: 3037: 3032: 3027: 3026: 3025: 3020: 3015: 3013:Hunner's ulcer 3010: 2999: 2997: 2991: 2990: 2988: 2987: 2982: 2977: 2972: 2966: 2964: 2958: 2957: 2949: 2948: 2941: 2934: 2926: 2920: 2919: 2907: 2877:(in Italian). 2868: 2867:External links 2865: 2862: 2861: 2792: 2746: 2690: 2632: 2622:. 2 April 2019 2607: 2580:(3): 161–177. 2564: 2521: 2502: 2459: 2452: 2430: 2406: 2387:(4): 439–445. 2367: 2318: 2275: 2269:978-1264268504 2268: 2247: 2210:(9): 593–598. 2190: 2138: 2106: 2057: 2027: 1978: 1945: 1918:(5): 291–306. 1898: 1849: 1810: 1785: 1746: 1716: 1673: 1664: 1628: 1574: 1545:(3): 558–563. 1525: 1514: 1494: 1434: 1385: 1344: 1333: 1313: 1263: 1252: 1229: 1208: 1157: 1138:(5): 1572–80. 1115: 1032: 1031: 1029: 1026: 1025: 1024: 1019: 1012: 1009: 987: 984: 974: 971: 951: 948: 924: 921: 918: 917: 916: 915: 912: 909: 900: 894: 893: 892: 891: 888: 887:1 pill per day 883: 877: 876: 875: 874: 871: 870:1 pill per day 866: 855: 854: 853: 852: 849: 844: 837: 836: 835: 834: 831: 828: 825: 824:1 pill per day 820: 814: 813: 812: 811: 808: 807:1 pill per day 805: 800: 789: 788: 787: 786: 783: 780: 775: 768: 767: 766: 765: 762: 759: 753: 748: 737: 736: 735: 734: 731: 728: 725: 720: 709: 708: 707: 706: 705:1 pill per day 703: 698: 687: 686: 685: 684: 681: 678: 668: 665: 662: 659: 654: 647: 646: 643: 639: 638: 577:antimuscarinic 572: 569: 555: 552: 530: 527: 514: 513:Classification 511: 495:bladder cancer 463: 460: 439: 436: 423: 420: 378: 375: 263: 262: 259: 255: 254: 251: 245: 244: 238: 232: 231: 217: 213: 212: 206: 200: 199: 196: 190: 189: 186: 180: 179: 172: 168: 167: 164: 160: 159: 156: 152: 151: 148: 144: 143: 140: 134: 133: 123: 117: 116: 111: 105: 104: 96: 95: 92: 88: 87: 79: 76: 75: 31: 29: 22: 15: 9: 6: 4: 3: 2: 3588: 3577: 3574: 3573: 3571: 3555: 3551: 3550: 3546: 3544: 3540: 3539: 3535: 3534: 3531: 3527: 3520: 3516: 3515: 3511: 3509: 3505: 3504: 3500: 3498: 3494: 3493: 3489: 3487: 3483: 3479: 3478: 3474: 3470: 3468: 3464: 3463: 3459: 3455: 3453: 3449: 3445: 3444: 3440: 3436: 3435: 3432: 3427: 3423: 3411: 3408: 3406: 3403: 3401: 3398: 3396: 3393: 3392: 3390: 3388: 3384: 3378: 3375: 3373: 3370: 3366: 3363: 3361: 3358: 3356: 3353: 3352: 3351: 3348: 3347: 3345: 3341: 3335: 3332: 3330: 3327: 3325: 3322: 3321: 3319: 3315: 3309: 3306: 3302: 3299: 3297: 3294: 3292: 3289: 3287: 3284: 3282: 3279: 3277: 3274: 3272: 3269: 3267: 3264: 3263: 3262: 3259: 3258: 3256: 3252: 3246: 3243: 3241: 3238: 3236: 3233: 3231: 3228: 3227: 3225: 3221: 3217: 3213: 3206: 3201: 3199: 3194: 3192: 3187: 3186: 3183: 3169: 3166: 3164: 3161: 3159: 3156: 3155: 3154: 3151: 3149: 3146: 3142: 3139: 3137: 3134: 3132: 3131:Bladder stone 3129: 3128: 3127: 3124: 3122: 3119: 3117: 3114: 3112: 3109: 3107: 3104: 3103: 3101: 3097: 3091: 3088: 3086: 3083: 3081: 3078: 3076: 3073: 3069: 3066: 3065: 3064: 3061: 3060: 3058: 3056: 3052: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3024: 3021: 3019: 3016: 3014: 3011: 3009: 3006: 3005: 3004: 3001: 3000: 2998: 2996: 2992: 2986: 2983: 2981: 2978: 2976: 2973: 2971: 2968: 2967: 2965: 2963: 2959: 2955: 2954:urinary tract 2947: 2942: 2940: 2935: 2933: 2928: 2927: 2924: 2916: 2912: 2908: 2904: 2900: 2896: 2892: 2888: 2884: 2881:(4): 241–56. 2880: 2876: 2871: 2870: 2857: 2850: 2846: 2841: 2836: 2831: 2826: 2822: 2818: 2814: 2810: 2806: 2799: 2797: 2788: 2784: 2780: 2776: 2772: 2768: 2764: 2760: 2753: 2751: 2742: 2738: 2734: 2730: 2725: 2724:2027.42/42170 2720: 2716: 2712: 2709:(6): 327–36. 2708: 2704: 2697: 2695: 2686: 2682: 2677: 2672: 2668: 2664: 2660: 2656: 2652: 2648: 2644: 2636: 2621: 2617: 2611: 2603: 2599: 2595: 2591: 2587: 2583: 2579: 2575: 2568: 2560: 2556: 2552: 2548: 2544: 2540: 2537:(4): 583–98. 2536: 2532: 2525: 2518:(2): 120–126. 2517: 2513: 2506: 2498: 2494: 2490: 2486: 2482: 2478: 2474: 2470: 2463: 2455: 2449: 2445: 2441: 2434: 2426: 2422: 2421: 2416: 2410: 2402: 2398: 2394: 2390: 2386: 2382: 2378: 2371: 2363: 2359: 2354: 2349: 2345: 2341: 2338:(6): 315–24. 2337: 2333: 2329: 2322: 2314: 2310: 2306: 2302: 2298: 2294: 2290: 2286: 2279: 2271: 2265: 2261: 2254: 2252: 2243: 2239: 2235: 2231: 2226: 2221: 2217: 2213: 2209: 2205: 2201: 2194: 2186: 2182: 2178: 2174: 2170: 2166: 2162: 2158: 2154: 2147: 2145: 2143: 2129: 2125: 2121: 2117: 2110: 2102: 2098: 2093: 2088: 2084: 2080: 2077:(5): 1811–5. 2076: 2072: 2068: 2061: 2045: 2041: 2037: 2031: 2023: 2019: 2015: 2011: 2006: 2001: 1997: 1993: 1989: 1982: 1973: 1968: 1964: 1960: 1956: 1949: 1941: 1937: 1933: 1929: 1925: 1921: 1917: 1913: 1905: 1903: 1894: 1890: 1885: 1880: 1876: 1872: 1868: 1864: 1860: 1853: 1838: 1834: 1833: 1829: 1824: 1820: 1814: 1799: 1795: 1789: 1781: 1777: 1773: 1769: 1765: 1761: 1757: 1750: 1742: 1738: 1735:(9): 379–85. 1734: 1730: 1723: 1721: 1712: 1708: 1704: 1700: 1696: 1692: 1688: 1684: 1677: 1668: 1660: 1656: 1652: 1648: 1645:(3): 488–96. 1644: 1640: 1632: 1624: 1620: 1615: 1610: 1606: 1602: 1598: 1594: 1590: 1583: 1581: 1579: 1570: 1566: 1562: 1558: 1553: 1548: 1544: 1540: 1536: 1529: 1521: 1517: 1515:9780199599394 1511: 1507: 1506: 1498: 1490: 1486: 1481: 1476: 1472: 1468: 1464: 1460: 1456: 1452: 1448: 1441: 1439: 1430: 1426: 1421: 1416: 1412: 1408: 1405:(2): 209–20. 1404: 1400: 1396: 1389: 1381: 1377: 1373: 1369: 1365: 1361: 1356: 1348: 1340: 1336: 1334:9781420067514 1330: 1326: 1325: 1317: 1309: 1305: 1300: 1295: 1291: 1287: 1283: 1279: 1275: 1267: 1259: 1255: 1253:9780781769372 1249: 1245: 1244: 1236: 1234: 1218: 1212: 1204: 1200: 1196: 1192: 1188: 1184: 1176: 1174: 1172: 1170: 1168: 1166: 1164: 1162: 1153: 1149: 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562: 551: 549: 545: 541: 537: 526: 524: 519: 510: 508: 504: 500: 496: 492: 487: 483: 481: 480:kidney stones 477: 473: 472:bladder scope 469: 459: 457: 453: 449: 445: 435: 433: 429: 419: 415: 413: 407: 404: 400: 397: 393: 390: 386: 384: 374: 370: 368: 364: 360: 355: 351: 348:, decreasing 347: 343: 339: 335: 330: 327: 325: 321: 317: 312: 308: 304: 300: 295: 291: 289: 285: 281: 277: 273: 269: 260: 256: 252: 250: 246: 242: 239: 237: 233: 229: 225: 221: 218: 214: 211: 207: 205: 201: 197: 195: 191: 187: 185: 181: 177: 173: 169: 165: 161: 157: 153: 149: 145: 142:UTIs, anxiety 141: 139: 138:Complications 135: 132: 128: 124: 122: 118: 115: 112: 110: 106: 102: 97: 93: 89: 84: 72: 69: 61: 51: 46: 42: 38: 37: 30: 21: 20: 3547: 3536: 3512: 3501: 3490: 3471: 3456: 3437: 3410:Mathe's sign 3405:Lloyd's sign 3295: 3162: 3148:Malakoplakia 3136:Kidney stone 3126:Urolithiasis 2914: 2878: 2874: 2812: 2808: 2765:(9): 760–6. 2762: 2758: 2706: 2702: 2650: 2646: 2635: 2624:. Retrieved 2619: 2610: 2577: 2573: 2567: 2534: 2530: 2524: 2515: 2511: 2505: 2472: 2468: 2462: 2439: 2433: 2418: 2409: 2384: 2380: 2370: 2335: 2331: 2321: 2288: 2284: 2278: 2259: 2225:10072/400893 2207: 2203: 2193: 2163:(1): 59–68. 2160: 2156: 2131:, retrieved 2119: 2109: 2074: 2070: 2060: 2048:. Retrieved 2044:the original 2030: 1998:(1): 35–43. 1995: 1991: 1981: 1962: 1958: 1948: 1915: 1911: 1869:(1): 45–50. 1866: 1862: 1852: 1841:, retrieved 1826: 1813: 1802:. Retrieved 1788: 1763: 1759: 1749: 1732: 1728: 1689:(1): 24–35. 1686: 1682: 1676: 1667: 1642: 1638: 1631: 1596: 1592: 1542: 1538: 1528: 1504: 1497: 1454: 1450: 1402: 1398: 1388: 1363: 1359: 1347: 1323: 1316: 1281: 1277: 1266: 1242: 1220:. Retrieved 1211: 1186: 1182: 1135: 1131: 1106:. Retrieved 1099:the original 1005: 989: 986:Epidemiology 976: 964: 953: 941: 926: 898:Fesoterodine 676:constipation 628: 625: 605:fesoterodine 574: 565: 557: 540:neurological 532: 520: 516: 488: 484: 465: 441: 425: 416: 408: 401: 394: 387: 380: 371: 331: 328: 324:Uroflowmetry 299:constipation 296: 292: 287: 271: 267: 266: 184:Risk factors 131:incontinence 64: 55: 48:Please help 44: 33: 3538:MedlinePlus 3395:Addis count 3235:Renal colic 3141:Renal colic 2975:Ureterocele 2915:MedlinePlus 2815:(2): e195. 2653:(6): 1444. 2475:(1): 4–13. 1366:: 137–140. 906:Tolterodine 881:Darifenacin 818:Solifenacin 793:Tolterodine 772:Tolterodine 756:topical gel 597:solifenacin 593:tolterodine 585:hyoscyamine 581:darifenacin 571:Medications 468:Urodynamics 432:urodynamics 342:Weight loss 282:, or both. 228:weight loss 147:Usual onset 91:Other names 52:if you can. 3503:DiseasesDB 3063:Urethritis 3018:Trigonitis 2980:Megaureter 2970:Ureteritis 2626:2023-04-24 2133:2024-03-07 2120:StatPearls 1965:(2): 141. 1804:2010-12-01 1028:References 923:Procedures 741:Oxybutynin 713:Oxybutynin 691:Oxybutynin 651:Oxybutynin 617:mirabegron 589:oxybutynin 529:Management 346:overweight 236:Medication 3549:eMedicine 3519:236633002 3514:SNOMED CT 3387:Eponymous 3365:frequency 2667:1792-1015 2602:208148685 2497:208149855 2234:2208-7958 2177:0889-8545 1561:1527-3792 1471:2164/8446 973:Prognosis 672:dry mouth 503:hematuria 462:Diagnosis 258:Frequency 249:Prognosis 216:Treatment 174:Old age; 109:Specialty 3570:Category 3355:Nocturia 3334:Polyuria 3324:Oliguria 3301:Overflow 3276:Giggling 3266:Enuresis 3168:Overflow 3003:Cystitis 2903:36693916 2895:22237808 2875:Urologia 2849:17332843 2809:PLOS ONE 2787:23650548 2779:11412210 2741:15994916 2733:12811491 2685:34721686 2594:21086288 2574:Urologia 2559:23846583 2551:18196198 2489:21086369 2469:Urologia 2444:Springer 2425:Archived 2401:17011379 2362:23205058 2313:10862256 2305:28889761 2242:32864677 2185:26880508 2128:30480967 2101:22999694 2022:35527427 2014:18184169 1940:22892631 1893:23439804 1837:archived 1798:Archived 1780:22001099 1741:17908830 1711:39170650 1703:22287269 1683:Urologia 1659:19361907 1623:21989525 1569:31039103 1520:Archived 1489:27935011 1429:25735839 1380:27852010 1339:Archived 1308:36148895 1258:Archived 1203:23098785 1152:25623739 1011:See also 859:Trospium 841:Trospium 621:vibegron 609:dementia 601:trospium 448:prostate 444:catheter 403:Nocturia 383:nocturia 350:caffeine 303:diabetes 280:at night 155:Duration 121:Symptoms 58:May 2024 34:require 3497:D053201 3360:urgency 3254:Control 3230:Dysuria 3099:Any/all 3055:Urethra 2995:Bladder 2840:1805814 2817:Bibcode 2676:8549091 2420:Reuters 2353:3491758 2092:3571660 1932:7841963 1884:3579666 1843:June 1, 1760:Urology 1614:3193392 1480:6463833 1420:4541969 1299:9502659 724:no pill 645:Traits 493:(UTI), 389:Urgency 367:surgery 305:, poor 276:urinate 158:Chronic 127:urinate 114:Urology 36:cleanup 3543:001270 3486:788.31 3482:596.51 3467:N32.81 3377:Uremia 3329:Anuria 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