2026 Urogynecology for the Advanced Practice Provider-Building the Foundation: Behavioral and Pharmacologic Approaches to OAB

Video Transcription

Video Summary

Dr. Kate Woodburn, an assistant professor of urogynecology at Wake Forest, presented practical guidance on diagnosing and treating overactive bladder (OAB). She defined OAB, emphasized using a 3-day bladder diary, history, urinalysis, and selective PVR when needed, and noted that telehealth can be used for initial evaluation. She highlighted key contributors such as fluid intake, caffeine, diabetes medications, sleep apnea, constipation, prolapse, vaginal atrophy, and mental health conditions.  <br /><br />Treatment focused on shared decision-making and combining behavioral and pharmacologic options rather than rigid “first-” or “second-line” steps. Behavioral strategies included fluid and caffeine reduction, timed voiding, bladder retraining, urge suppression, and use of pelvic floor physical therapy and patient education tools. Medications reviewed included beta-3 agonists and anticholinergics, with discussion of side effects, blood pressure concerns, renal dosing, and dementia risk. She also addressed follow-up timing, dual therapy, and the role of vaginal estrogen.

Asset Subtitle

A practical review of evidence-based strategies for OAB treatment focusing on behavioral interventions and oral medications. By the end of this session, you will be able to:

Counsel patients on key evidence-based behavioral interventions for urinary urgency and frequency.
Discuss the risks and benefits to the currently available overactive bladder medications.

Speaker: Kate Woodburn, MD

Keywords

overactive bladder

urogynecology

bladder diary

behavioral therapy

beta-3 agonists

anticholinergics