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The long-term natural history of overactive bladder symptoms due to idiopathic detrusor overactivity in women

Garnett, Stephen; Swithinbank, Lucy; Ellis-Jones, Julie; Abrams, Paul

Authors

Stephen Garnett

Lucy Swithinbank

Julie Ellis-Jones

Paul Abrams



Abstract

ObjectiveS To assess the long-term natural history of overactive bladder (OAB) symptoms due to idiopathic detrusor overactivity (IDO) in women. Patients and Methods: Original urodynamic traces were reviewed and women who were referred with OAB symptoms and found to have IDO on investigation in our urodynamic unit ≥10 years previously were invited for a repeat urodynamic and symptomatic assessment. Results: In all, 174 women were identified and invited to participate; 53 had repeat urodynamics, another 32 attended the unit for symptom assessment and a further 23 completed postal questionnaires. There were no significant symptomatic or urodynamic differences between these groups at baseline. Of the 53 who had repeat urodynamics, 46 (88%) had persistent symptomatic IDO. Conclusions: OAB symptoms have a significant effect on the quality of life of those affected. OAB symptoms due to IDO in women are persistent, lasting for ≥10 years in 88% of this study population. This information might affect the treatment choices made by patients and their doctors in the management of this condition. © 2009 BJU International.

Journal Article Type Article
Publication Date Jan 1, 2009
Journal BJU International
Print ISSN 1464-4096
Electronic ISSN 1464-410X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 104
Issue 7
Pages 948-953
DOI https://doi.org/10.1111/j.1464-410X.2009.08535.x
Keywords idiopathic detrusor overactivity, overactive bladder,
symptoms, natural history, urodynamics
Public URL https://uwe-repository.worktribe.com/output/991789