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OAB, LUTS, and BPH—a paradigm shift 

OAB, LUTS, and BPH—a paradigm shift

Alexander Roosen


• “Overactive bladder” is a merely clinical diagnosis, comprising urgency, with or without urge incontinence (OAB-wet and OAB-dry), and either or both frequency and nocturia • “Detrusor overactivity” (DO) is a urodynamic finding which may or may not underlay OAB, and has two types: phasic and terminal DO, the latter usually being of neurogenic origin • “LUTS” comprise storage/OAB symptoms, voiding symptoms, and postmicturition symptoms. They equally affect men and women and are rather age- than gender-related • In female OAB, antimuscarinics should be applied for 6–12 weeks before commencing invasive diagnostics. In the male, A1-receptor antagonists should first be tried alone, followed by a combination with antimuscarinics.

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