How to Treat Overactive Bladder?


Things to note:
  • Health education.
  • Clean intermittent self-catheterisation (CISC).
  • Indwelling catheter, suprapubic or transurethral.
  • Surgical therapy, where indicated: e.g. enterocystoplasty, urinary diversion, or continence surgery as decided by the surgeon.

Medical Treatment:
For detrusor hyperactivity demonstrated on urodynamic studies:
  • Oxybutynin, oral, 2.5-5 mg 8 hourly. Specialist initiated.

When to refer:
  • For confirmation of diagnosis.
  • Complications.

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