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The options for surgical treatment of overactive bladder (OAB)


Authors: A. Čermák
Published in: Urol List 2008; 6(1): 35-43

Overview

The prevalence of urinary incontinence (UI) and overactive bladder (OAB) increases with age, and elderly people are the fastest-growing segment of the population. Many elderly people believe that UI is a normal part of the aging process and do not see their doctors to discuss the problem. It is up to the physicians to make efforts to obtain objective information about their patients' health problems and their actual health condition. Comorbidity in elderly patients and multiple medications many of them take make diagnosing and treatment more difficult in this population. Just as the etiology of incontinence is often multifactorial, approach to treatment may need to be multipronged and involve behavioural, environmental, and medical components. In any case, it must be targeted to the individual patient. New and less-invasive surgical techniques and devices allow for effective therapy if traditional methods fail.

Key words:
geriatrics, overactive bladder, urinary incontinence


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