1.

Record Nr.

UNINA9910809457303321

Titolo

Overactive bladder : practical management / / edited by Jacques Corcos, Scott MacDiarmid, John Heesakkers

Pubbl/distr/stampa

Chichester, West Sussex, United Kingdom ; ; Hoboken, New Jersey : , : John Wiley & Sons, , 2015

ISBN

1-118-64058-6

1-118-64056-X

Descrizione fisica

1 online resource (272 p.)

Disciplina

616.6/2

Soggetti

Urinary incontinence - Treatment

Bladder - Diseases - Treatment

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Title Page; Copyright Page; Contents; Contributors; Foreword; Foreword: The impact of Overactive Bladder on Urogynecology; Foreword; Preface; Section 1 Introduction; Chapter 1 Overactive bladder: terminology and problem spectrum; References; Chapter 2 Pathophysiology; Introduction; The innervation of the bladder; The genesis of the NDO: three hypothesis; The link to the clinic; The neurological pathologies responsible for the development of the neurogenic bladder; Histological changes; Conclusions; References; Section 2 Evaluation; Chapter 3 Timing for evaluation; Conclusion; References

Chapter 4 Clinical evaluation Introduction; History; Neurological history; General gynecological history; Obstetric history; Other relevant past medical and surgical history; Drug history; Examination; Questionnaires and quality of life; Summary; References; Chapter 5 Urodynamic evaluation of the overactive bladder; Introduction; OAB and urodynamics; Filling cystometry and OAB; Cystometrogram; Does OAB equal urodynamic DO? A clinical correlation; Pressure-flow studies and OAB; Summary; References; Chapter 6 Other testing; Bladder/detrusor wall thickness; Biomarkers; Near infrared spectroscopy

Bladder wall strain imaging Autonomic nervous system; Functional brain imaging; Conclusions; References; Section 3 First Line



Management; Chapter 7 Changes in lifestyle; Introduction; Lifestyle modifications; Obesity; Smoking; Extremes of daily fluid intake; Dietary bladder irritants; Constipation and straining at stool; Summary; References; Patient Guide 1 Lifestyle changes that can improve bladder symptoms; Maintain a healthy weight; Stop smoking; Moderate liquid and beverage intake; Monitor your diet; Maintain bowel regularity; Chapter 8 Physical therapy; Physical therapy

Scheduled voiding/bladder training Pelvic floor muscle training; Electrical stimulation; References; Section 4 Second Line Management; Chapter 9 Oral medication for overactive bladder; Introduction; Antimuscarinics; Beta 3 (β3) adrenergic receptor (AR) agonists; Antidepressants; References; Chapter 10 Patches and gels; Rationale for TD OXY delivery; Drug pharmacology; Conclusion/expert opinion; References; Chapter 11 Promising experimental drugs and drug targets; Introduction; P2X3-receptors and P2X3 receptor antagonists; The cannabinoid system; TRP channels; References

Chapter 12 The role of co-medication in the treatment of OAB Introduction; Antimuscarinics and α-adrenoreceptor antagonists; Phosphodiesterase-5 inhibitors and α-adrenoreceptor antagonists; Other combination regimens; Future directions; References; Chapter 13 Other non-surgical approaches for the treatment of overactive bladder; Introduction; Bladder training; Acupuncture; Naturopathic and herbal remedies; Magnetic stimulation; Containment products; Future: tissue engineering and gene therapy; Conclusion; Abbreviations; Financial and competing interests disclosure; References

Section 5 Third Line Management

Sommario/riassunto

Overactive Bladder: Practical Management provides urologists, gynecologists and other health practitioners with a comprehensive clinical guide to this very common problem, resulting in a perfect resource to consult time and time again.  Beginning with an introductory section covering the definition and pathophysiolgy of OAB, it then moves on to cover evaluation, first-line management, second-line management and finally surgery.  Well-illustrated throughout, each chapter begins with a key points box outlining the most important take-home messages. Also included are clear management algorithms