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Pathophysiology, symptomatology and diagnosis of an overactive urinary bladder


Authors: R. Zachoval;  M. Záleský
Authors‘ workplace: Urologické oddělení ;  Primář: Doc. MUDr. Roman Zachoval, Ph. D. ;  Fakultní Thomayerova nemocnice, Praha
Published in: Prakt. Lék. 2009; 89(10): 556-560
Category: Various Specialization

Overview

The incidence of overactive bladder is very high; in developed countries the incidence exceeds that of such serious conditions as diabetes mellitus and depression. Etiologic factors for overactive bladder are various neurological diseases, lower urinary tract obstruction or idiopathic degeneration of the lower urinary tract. Symptomatology comprises of urgency, with or without urge incontinence, frequent voiding during the day and nocturia. Diagnosis is based on the exclusion of other pathology of the lower urinary tract (tumours, stones, inflammation) and on verification of the syndrome from patient history, physical examination, urine analysis, evaluation of post voiding residual and urodynamics.

Key words:
overactive bladder, aetiology, pathophysiology, symptomatology, diagnostic.


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