Overactive Bladder: Assessment & Management for the Urogyencologic Advanced Practice Provider-Overactive Bladder: Assessment & Management for the Urogynecologic Advanced Practice Provide

Video Transcription

Video Summary

The video discussed OAB (overactive bladder) and urge incontinence. It covered various topics such as clinical manifestations, pathophysiology, assessment, and treatment options for OAB. The speaker mentioned that OAB is a symptom syndrome characterized by sudden and compelling desire to urinate that is difficult to defer. Increased daytime frequency and nocturia are common symptoms of OAB. Urge incontinence is leakage of urine associated with urgency. The speaker discussed different treatment options for OAB, including behavioral interventions, medication (such as anti-muscarinics and beta-3 agonists), and invasive treatments like Botox injections and neuromodulation devices. It was mentioned that Botox injections can have adverse effects like urinary tract infections and urinary retention. The speaker also emphasized the importance of combining pharmacotherapy with behavioral therapy and mentioned that PTNS (percutaneous tibial nerve stimulation) can be an effective option. The potential risk of cognitive impairment and dementia associated with anti-muscarinic medications was also discussed. Overall, the video provided information on OAB and its management options.

Asset Caption

Mikel Gray, PhD is Professor and Nurse Practitioner with the Department of Urology (School of Medicine) and Department of Acute & Specialty Care (School of Nursing) at the University of Virginia in Charlottesville. He is Editor-in Chief of the Journal of Wound, Ostomy and Continence Nursing. He has authored or co-edited 3 books and authored more than 50 chapters and 250 articles in peer reviewed journals. He has lectured both nationally and internationally on topics related to neurologic urology and urodynamic testing, urologic nursing, wound, ostomy and continence nursing, and evidence-based practice. A fellow in the American Academy of Nursing and the Academy of Nurse Practitioners, Dr. Gray is past president of both the Society of Urologic Nurses and Associates and the Certification Board for Urologic Nurses and Associates. He has received awards for contributions to Urologic and WOC nursing respectively.

Keywords

overactive bladder

urge incontinence

urinary urgency

nocturia

daytime frequency

behavioral therapy

antimuscarinics

beta-3 agonists

Botox injections

percutaneous tibial nerve stimulation