Editing AUA: Overactive Bladder (2019) (section)

===== History =====
* '''<span style="color:#ff0000">Characterize lower urinary tract symptoms (storage and voiding/emptying), including duration of symptoms and baseline symptoms</span>'''
**Assess bladder storage symptoms associated with OAB (e.g., urgency, urgency incontinence, frequency, nocturia) and other bladder storage problems (e.g., stress incontinence episodes) 
***Urinary frequency
****Varies across individuals. 
*****In community-dwelling healthy adults, normal frequency consists of voiding every 3-4 hours with a median of approximately 6 voids a day.
*****Traditionally, up to 7 micturition episodes during waking hours has been considered normal, but this number is highly variable based upon hours of sleep, fluid intake, comorbid medical conditions and other factors.
****Can be reliably measured with a bladder diary.
***Incontinence
****Can be measured reliably with a bladder diary and the quantity of urine leakage can be measured with pad tests.
**Assess bladder emptying (e.g., hesitancy, straining to void, prior history of urinary retention, force of stream, intermittency of stream). 
* '''<span style="color:#ff0000">Amount and type of fluid intake (e.g., with or without caffeine).</span>''' 
**Excessive fluid intake can produce voiding patterns that mimic OAB symptoms.
**'''Patients who do not appear able to provide accurate intake and voiding information should fill out a fluid diary.''' 
* '''<span style="color:#ff0000">Current medications</span>''' 
**Should be reviewed to ensure that symptoms are not related to medications. 
* '''<span style="color:#ff0000">Co-morbid conditions</span>''' 
**'''Neurologic diseases and other genitourinary conditions''' should be considered as they directly impact bladder function.
**'''Criteria for Complicated OAB'''
***'''Female patient with significant prolapse (i.e., prolapse beyond the introitus)''' 
***'''Failed multiple anti-muscarinics to control OAB symptoms''' 
***'''Patients with OAB symptoms and co-morbid conditions including''' 
***#'''Neurologic diseases (i.e., stroke, multiple sclerosis, spinal cord injury)'''
***#'''Mobility deficits'''
***#'''Medically complicated/uncontrolled diabetes'''
***#'''Fecal motility disorders (fecal incontinence/constipation)'''
***#'''Chronic pelvic pain'''
***#'''History of recurrent urinary tract infections (UTIs)'''
***#'''Gross hematuria'''
***#'''Prior pelvic/vaginal surgeries (incontinence/prolapse surgeries)'''
***#'''Pelvic cancer (bladder, colon, cervix, uterus, prostate)'''
***#'''Pelvic radiation''' 
*'''<span style="color:#ff0000">Degree of bother</span>'''
** If patient is not significantly bothered by his/her bladder symptoms, then there is a less compelling reason to treat the symptoms.