Contemporary Management of Overactive Bladder

Abstract

Overactive bladder is a prevalent condition with bothersome symptoms that greatly impact health–related quality of life. Despite a multitude of treatment options, many patients go untreated or undertreated. This article addresses the contemporary management of overactive bladder, including behavioral and lifestyle modifications, pelvic floor muscle therapy, biofeedback, drug therapy, neuromodulation, and botulinum toxin. We highlight the new drugs and therapies that have been brought into clinical use over the past few years, and discuss important clinical implications of therapy as well as promising new agents that are currently in advanced stages of development.

Keywords:

• overactive bladder
• behavioral modification
• biofeedback
• antimuscarinics
• neuromodulation
• botulinum toxin