Abstract
Overactive bladder (OAB) is a considerable health and economic burden, which causes those who suffer from it distress and poor quality of life (QOL). It has a clinical spectrum from mild minimally bothersome urgency to severe daytime and night-time frequency, urgency, and refractory urgency incontinence. Its evaluation can be sensitive, but is important, as these symptoms may be masking a more sinister pathology, which must be excluded. However, basic treatment measures that can be implemented in a primary care setting can have a significant impact on improving the QOL. If these are unsuccessful, a referral for specialist care is then appropriate as more advanced treatment options can be offered in this setting.
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