Editing Functional: Overactive Bladder (section)

== Specialized evaluation and management outline ==

* Altered drug dose, different agent, or combination therapy may achieve sufficient improvement to obviate the need to consider more invasive investigation and treatment.
* '''Urodynamic evaluation should be considered where conservative and drug therapy fails adequately to manage OAB in a patient who is sufficiently healthy and who is considering more invasive therapeutic interventions.''' The primary aim of urodynamic studies is to reproduce the patient’s symptoms and to identify additional factors likely to influence management decisions.
** '''The two main urodynamic diagnoses associated with OAB are DO and increased filling sensation.'''
*** '''Note that some patients with DO are asymptomatic (i.e., they do not experience OAB).'''
*** '''DO may not be present in some patients with OAB, especially in women'''