Optimal treatment for overactive bladder (OAB) incorporates different modalities, depending largely on the specific needs of the patient. For many individuals, a combination of lifestyle interventions and pharmacologic therapy is required for adequate relief of symptoms. Despite the existence of safe and effective therapies, fewer than one third of patients with OAB currently receive treatment. Of those who are treated, many prematurely discontinue therapy, oftentimes because of bothersome side effects.
In this activity, a urologist and a primary care provider discuss care options for a 69-year-old woman with various health comorbidities who has been experiencing OAB symptoms for the past several years. The faculty review evidence-based options for alleviating persistent bladder symptoms in this patient, as well as considerations for the selection of therapy. Strategies for keeping the patient engaged in care and adherent to therapy over the long term are also discussed.