By Alan J. Wein
ISBN-10: 1846288304
ISBN-13: 9781846288302
ISBN-10: 1846288312
ISBN-13: 9781846288319
Overactive Bladder in medical Practice presents a well timed and complete replace at the overactive bladder (OAB) syndrome. the indications of urgency, without or with urge incontinence, often with frequency or nocturia, now outlined because the overactive bladder syndrome, became a scorching subject in urology, gynecology and urogynecology. Epidemiological info express very excessive ailment incidence (19%), fairly compared to different persistent stipulations comparable to diabetes (2%) and bronchial asthma (7%). OAB indicators effect seriously on patient’s caliber of lifestyles, inflicting major impairment of sufferer power and restricting their actual position, just like diabetes.
The OAB syndrome contains all age teams, either sexes and is usually present in neurogenic sufferers. This ebook will disguise all facets of OAB epidemiology, economics, pathophysiology, conservative, pharmaceutical and surgical and may be beneficial examining for citizens and trainees in urology, gynecology and urogynecology.
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Extra resources for Overactive Bladder in Clinical Practice
Example text
Urinary frequency is within normal limits, with increased evening frequency triggered by alcohol intake. Fluid intake is inadequate, suggesting the patient may be limiting intake to control urinary leakage [21]. There is no standardized diary design and lay-out; it should be adapted to the needs and abilities of the patient; for example, the diary it could include the time at which the patient goes to bed and wakes up. This simple evaluation can be very helpful in revealing habits that contribute to urinary symptoms (eg, large intake of caffeine in the evenings or infrequent voids during working hours).
The term “urgency” (distinct from “urge” or the normal desire to void) is a sensory symptom produced by a central perception of increased afferent discharge from the bladder and, as such, is difficult to define, communicate to both patients and healthcare colleagues, and measure (quantify). It is not known: • whether the sensation is similar if there is an underlying disease process in patients with a neurological etiology, in contrast to idiopathic DO • where the sensation of urgency is located (eg, in the suprapubic area or the perineum) 26 Chapter 2.
Kelleher CJ (2002). Economic and social impact of OAB. Eur Urol 1:11–16. 31. Hu TW, Wagner TH, Bentkover JD, et al (2004). Costs of urinary incontinence and overactive bladder in the United States: a comparative study. Urology 63:461–5. 32. Irwin DE, Mungapen L, Milsom I, et al (2009). The economic impact of overactive bladder syndrome in six Western countries. BJU Int 103: 202–9. 33. McGrother CW, Donaldson MM, Shaw C, et al (2004). Storage symptoms of the bladder: prevalence, incidence and need for services in the UK.
Overactive Bladder in Clinical Practice by Alan J. Wein
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