Editing AUA: Overactive Bladder (2019) (section)

=== Observation ===

* '''After assessment has been performed to exclude conditions requiring treatment and counseling, no treatment is an acceptable choice made by some patients and caregivers.'''
**OAB is not a disease; it is a symptom complex that generally is not a life-threatening condition.
**'''Initiating treatment for OAB generally presumes that the patient can perceive an improvement in his or her QOL.''' 
***In patients who cannot perceive symptom improvements (e.g., in the very elderly or demented patient), treatment may not be appropriate, may be potentially unsafe or may be futile 
***In certain patients for whom hygiene and risk for skin breakdown are major concerns for a significant health risk, treatment may be considered regardless of the patient's perceptions when it is in the patient's best interests. 
****In these patients, behavioral strategies that include prompted voiding and fluid management may be helpful.
****Pharmacologic treatments and invasive treatments, however, are generally not appropriate for these individuals.