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

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