Overactive bladder (OAB) is a common urological disease with a high prevalence in older adult populations. Antimuscarinic drugs have been the most common treatment for OAB for more than a decade, but their anticholinergic side-effects and potential impact on cognitive function among older patients are usually underestimated. This consensus aimed to provide practical recommendations concerning OAB management, with a particular emphasis on older patients. A joint consensus panel was formed by representatives of the Hong Kong Urological Association and the Hong Kong Geriatrics Society. Literature searches regarding OAB and its management were performed in PubMed and Ovid. Several working meetings were held to present and discuss available evidence, develop consensus statements, and vote for the statements. A modified Delphi method was used in this consensus process. To address questions regarding various aspects of OAB, 29 consensus statements were proposed covering the following areas: diagnosis, initial assessment, non-pharmacological treatments, considerations before administration of pharmacological treatments, various pharmacological treatments, combination therapy, and surgical treatment. Twenty-five consensus statements were accepted.
Hong Kong medical journal = Xianggang yi xue za zhi. 2024 Aug 14 [Epub]
W K K Wong, R W M Kan, P S Lam, P M H Cheung, E Y L Cheng, T C T Pun, M W S Tang, C L H Leung, S W S Woo, T K Lo, P S K Chu, T N H Chan, P K F Chiu
Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Division of Urology, Department of Surgery, Queen Elizabeth Hospital, Hong Kong SAR, China., Department of Rehabilitation and Extended Care, Wong Tai Sin Hospital, Hong Kong SAR, China., Division of Urology, Department of Surgery, Tseung Kwan O Hospital, Hong Kong SAR, China., Department of Medicine and Geriatrics, United Christian Hospital, Hong Kong SAR, China., Division of Urology, Department of Surgery, Kwong Wah Hospital, Hong Kong SAR, China., Department of Medicine and Geriatrics, Shatin Hospital, Hong Kong SAR, China., Department of Medicine and Geriatrics, Ruttonjee Hospital, Hong Kong SAR, China., Division of Urology, Department of Surgery, Tuen Mun Hospital, Hong Kong SAR, China., Department of Medicine and Geriatrics, Pok Oi Hospital, Hong Kong SAR, China., SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong SAR, China.