AUGS/IUGA Scientific Meeting 2019-Long Oral Session 3

Video Transcription

Video Summary

Lower urinary tract symptoms (LUTS) can be categorized into two main conditions: overactive bladder (OAB) and underactive bladder (UAB). OAB is characterized by symptoms such as urgency, frequency, and urge incontinence, while UAB is marked by symptoms such as hesitancy, incomplete emptying, and reduced sensation of filling. However, there is a lack of clarity and specificity in the terminology used to describe these conditions. It is important to consider both symptoms and objective measures when diagnosing and treating LUTS. <br /><br />The pathophysiology of LUTS is complex, and there are various underlying mechanisms that can contribute to both OAB and UAB. Vascular dysfunction, aging, and other comorbidities can all play a role in the development of these conditions. It is important to understand the individual patient and their unique contributing factors in order to effectively manage their LUTS. <br /><br />Treatment options for LUTS are limited and often have mixed outcomes. It is important to establish agreed upon indications for treatment and outcome parameters for success. Additionally, a benefit-risk categorization of treatments is needed to ensure that patients are receiving the most appropriate care. <br /><br />Overall, LUTS should be viewed as a complex condition with a range of contributing factors. We need new algorithms and treatment approaches that consider the patient's expectations and incorporate their voice into decision-making. By doing so, we can better manage LUTS and improve patient outcomes.

Asset Caption

Roger R. Dmochowski, MD, MMHC, Uduak U. Andy, MD, Runzhi Wang, MD, Zeliha Guler Gokce, PhD, Megan E. Tarr, MD, MS, Toy Gee Lee, MD, Kerac Falk, MD

Keywords

Lower urinary tract symptoms

LUTS

overactive bladder

OAB

underactive bladder

UAB

urgency

frequency

urge incontinence

hesitancy