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Overactive bladder - Oxford Gynaecology

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OVERACTIVE BLADder<br />

Contents<br />

Introduction 2<br />

What is an overactive <strong>bladder</strong> (OAB)? 2<br />

What is the impact of OAB? 2<br />

How do you diagnose OAB? 2<br />

Differential diagnosis/secondary causes 3<br />

Investigations 3<br />

Aims of treatment 5<br />

Lifestyle changes and behavioural therapy 6<br />

Pharmacotherapy 7<br />

Complementary therapy 10<br />

New developments 10<br />

Surgical management 11<br />

Resources 11<br />

References 12<br />

Authors:<br />

l Natalia Price, subspecialist trainee in urogynaecology,<br />

The Women’s Centre, John Radcliffe Hospital, <strong>Oxford</strong>.<br />

l Simon Jackson, consultant gynaecologist, The Women’s<br />

Centre, John Radcliffe Hospital, <strong>Oxford</strong>.<br />

Reviewers:<br />

l Sally Hope, GP and honorary research fellow in women’s<br />

health, Department of Primary Health Care, University<br />

of <strong>Oxford</strong>.<br />

l Michael Kirby, GP and visiting professor, Faculty of<br />

Health & Human Sciences, University of Hertfordshire.<br />

l Adrian Wagg, consultant geriatrician, University College<br />

Hospital, London.<br />

Published by Medical Imprint, 174 Hammersmith Road, London W6 7JP.<br />

Email: medical.imprint@haymarket.com. Tel: 020 8267 4572.<br />

Managing editor: Bettina Vine; Project editor: Becki Davies; Sub-editors: Gina<br />

Lyons, Philip MacDonald; Assistant account manager: Richard Moeller; Senior<br />

production controller: Nicola Goodman; Group production manager: Philip Root;<br />

Group art editor: Pauline Lock; Editor-in-chief: Colin Cooper; Publisher: Richard<br />

Yarwood; Managing director: Peter Welland. The views expressed in this<br />

publication are those of the authors and not necessarily those of Medical Imprint<br />

or Astellas Pharma Ltd. Readers are advised to make their own further enquiries of<br />

manufacturers or specialists in relation to particular drugs, treatments or advice.<br />

The publishers and printers cannot accept liability for errors or omissions. No part<br />

of this publication may be reproduced in any form without the written permission<br />

of the publisher, application for which should be made to<br />

the publisher.<br />

©2008 Haymarket Medical Media Ltd.<br />

Item code: VES10512UK. Date of preparation:<br />

December 2008. Reprinted November 2010<br />

Haymarket is certified by BSI<br />

to environmental standard<br />

ISO14001<br />

1

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