Abstract
International guidelines exist regarding the initial assessment of patients suffering from overactive bladder (OAB). To synthesize current knowledge on the evaluation of OAB. A systematic literature review based on Pubmed, Embase, Google Scholar was conducted in June 2020. An accurate taking of history and assessment of lower urinary tract symptoms are the first steps of the evaluation of patients with OAB. In addition, the search of risk factors for OAB, the exclusion of urological causes which can be responsible for urgency and the identification of therapeutic contra-indications are essential. The clinical examination and a 3-to 7-day bladder diary are part of the initial assessment. Self-questionnaires validated in French measure patients' bother and the impact on quality of life. The urine strip or culture eliminates a urinary tract infection. Urinary cytology and cystoscopy investigate a bladder tumor in case of risk factor. The post-void residual volume has to be measured in case of voiding symptoms. Urodynamics and imaging are not first-line tests. The understanding of the initial evaluation of OAB is essential to introduce treatments adapted to patients' bother.
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