Clinical testing for overactive bladder
DOI:
https://doi.org/10.5489/cuaj.712Abstract
While the diagnosis of overactive bladder (OAB) is made clinically,simple office testing (e.g., urinalysis and culture, assessment
of post-void residual urine) should be part of the work-up of all
patients with these symptoms. There are certain situations in which
testing should be undertaken before initiating treatment or for monitoring
response. Supplemental testing should be considered in
cases where routine evaluation raises the suspicion of a problem
or condition that either needs further evaluation or may predispose
the patient to failure of therapy. Further testing may also be considered
for patients who are refractory to treatment and those with
significant neurological disease. Depending on the particular case,
supplemental testing may include comprehensive urodynamic testing,
endoscopic evaluation of the lower urinary tract, imaging of
the upper urinary tract, neurologic evaluation or spine imaging.
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