Diagnostik der überaktiven Blase (OAB)

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• 作者：Dr. M. Kurosch ; R. Mager ; K. Gust ; M. Brandt ; H. Borgmann ; A. Haferkamp
• 关键词：überaktive Blase ; Diagnostik ; Anamnese ; Pathophysiologische Faktoren ; Urodynamik ; Overactive urinary bladder ; Diagnosis ; Medical history taking ; Pathophysiological factors ; Urodynamics
• 刊名：Der Urologe A
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：54
• 期：3
• 页码：421-429
• 全文大小：419 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Urology and Andrology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0563

文摘

Overactive bladder (OAB) is a symptom complex which is present in approximately 17% of the European population. It is observed in the presence or absence of incontinence (wet or dry) and is associated with a high degree of psychological stress as well as high costs for the healthcare system. Myogenic, urothelial and neurogenic factors lead to frequently unknown changes of muscular, neural and connective tissue. The diagnosis of OAB is empirical and can be used as a basis for initial treatment, while lower urinary tract symptoms have to be evaluated up front. As there are no established biomarkers for OAB, a definitive diagnosis is problematic. It is important to carry out routine diagnostics including a detailed medical history and if needed urodynamic evaluation of the patient. Therapy of OAB will be the topic of a further continuing medical education (CME) article entitled “Therapy of overactive bladder (OAB)-