Abstract
In recent years, there has been a steady increase in patients visiting a specialist for what is known as overactive bladder syndrome. Due to the extremely negative impact of the disease on patients' quality of life, timely diagnosis and adequate treatment choices are of the utmost importance. The guidelines presented include a description of the etiology and pathogenesis, basic principles of diagnosis, and current methods of treatment for this category of patients.
Highlights
Overactive bladder (OAB) is a widespread syndrome
Neurogenic disorders occur at the level of the supra-spinal centers of the nervous system and spinal cord pathways, and non-neurogenic disorders occur due to age-related changes in detrusor, intravesical obstruction, and anatomical changes in urethral and bladder position
OAB is a syndrome consisting of many symptoms
Summary
Overactive bladder (OAB) is a widespread syndrome. According to the International Continence Society (ICS), 17% of Europe's adults have symptoms of OAB (Wein A.J., Rovner E.S., 2002). There is currently a tendency to increase the incidence of OAB and urinary incontinence in women at age 65 and older. OAB is generally more frequent in women after 44 years (Stewart W.F., Van Rooyen, 2003). There is no clear data on the spread of OAB in Bulgaria, but it is generally accepted that it is similar to that in European countries. Despite the fact that OAB is diagnosed more often in the elderly, its symptoms are found in other age groups. In men over 60 years there is a clear tendency to increase the incidence of the disease, and in women, on the contrary, decrease. OAB is a fairly common clinical syndrome that occurs in different age groups and leads to physical and social maladaptation
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