Abstract
BLADDER DISORDERS: COMMON ISSUES AND SOLUTIONS- AN UPDATED REVIEW OF OVERACTIVE BLADDER
Abdullah Saleh Alshowmer*, Abdullatif Suliman Alsayegh, Mohammed Abdullah Alduaybi, Omar Hussain Alsomali, Meshal Ibrahim Zaid Al Owias, Mohammed Ayyat alanazi, Khalid Ali Almzairie and Amal Thani alenazi
ABSTRACT
Background: Overactive bladder (OAB) significantly impacts the quality of life in older adults, with a prevalence of 12.8% among women and 10.8% among men in Europe and Canada. The condition is particularly prevalent in those aged over 65, contributing to an increased risk of falls and fractures. The financial burden associated with urinary symptoms in this demographic is substantial, leading to projections of 52 million adults in the U.S. experiencing lower urinary tract symptoms by 2025. Aim: This review aims to provide an updated overview of the evaluation and management of OAB in vulnerable elderly populations, emphasizing the need for tailored approaches due to their unique health challenges. Methods: A comprehensive literature review was conducted, focusing on recent guidelines and studies related to OAB management in the elderly. The review also highlights the multifactorial nature of urinary symptoms and the necessity for holistic evaluation methods that address individual health circumstances. Results: The findings indicate that OAB in the elderly should not be treated as an isolated condition but as part of a broader spectrum of health issues. Diagnostic evaluations must include assessments of comorbidities, cognitive function, and functional mobility. Treatment strategies emphasize behavioral modifications, lifestyle changes, and individualized care plans to improve outcomes and quality of life. Conclusion: A patient-centered, multidisciplinary approach is vital in managing OAB among vulnerable elderly patients. By understanding the interplay of health factors, clinicians can offer more effective treatments that prioritize the patients' overall health and well-being.
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