Magdalena E Grzybowska1, Tomasz Rechberger2, Andrzej Wrobel2, Wlodzimierz Baranowski3, Klaudia Stangel-Wojcikiewicz4, Artur Rogowski5,6,7, Tomasz Kluz8, Elzbieta Narojczyk-Swiesciak9, Edyta Wlazlak10, Bartlomiej Burzynski11, Grzegorz Surkont10. 1. Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland. mgrzybowska@gumed.edu.pl. 2. II Department of Gynecology, Medical University of Lublin, Poland. 3. Department of Gynecology and Gynecological Oncology, Military Medical Institute, Warsaw, Poland. 4. Department of Gynecology and Oncology, Jagiellonian University Medical College, Cracow, Poland. 5. Clinic of Gynecology and Obstetrics, Institute of Mother and Child, Warsaw, Poland. 6. Cardinal Stefan Wyszynski University in Warsaw, Faculty of Medicine, Collegium Medicum, Warsaw, Poland. 7. Department of Gynecology, "Inflancka" Specialist Hospital, Warsaw, Poland. 8. Department of Gynecology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland. 9. Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland. 10. Department of Operative Gynecology and Gynecologic Oncology, I Department of Gynecology and Obstetrics, Medical University of Lodz, Poland. 11. Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice - Ochojec, Poland.
Abstract
OBJECTIVES: The aim of the publication was to present the interdisciplinary guidelines of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) for the treatment of overactive bladder (OAB) syndrome based on the available literature, expert knowledge, and everyday practice. MATERIAL AND METHODS: A review of the literature, including current recommendations for the treatment of overactive bladder syndrome, urinary incontinence, urgency and mixed urinary incontinence, as well as the earlier recommendations of the PSGO Urogynecology Section, was conducted. RESULTS: Management of the patients with OAB is presented. Four lines of therapy were identified: 1) educating the patient, behavioral therapy with pelvic floor muscle training, 2) pharmacotherapy, 3) botulinum toxin injection and tibial nerve stimulation; and sacral nerve stimulation even though so far it has been used only in selected populations, 4) surgical intervention. The literature reports which provided supporting evidence and presented various aspects of the therapy were discussed. OAB pharmacotherapy-related issues which are vital in everyday clinical practice were presented. CONCLUSIONS: A systematic review of the available guidelines and an analysis of OAB (including urgency urinary incontinence) management were conducted. The Polish Society of Gynecologists and Obstetricians issued the guidelines for the therapeutic management of OAB patients. The need for an individualized approach was emphasized.
OBJECTIVES: The aim of the publication was to present the interdisciplinary guidelines of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) for the treatment of overactive bladder (OAB) syndrome based on the available literature, expert knowledge, and everyday practice. MATERIAL AND METHODS: A review of the literature, including current recommendations for the treatment of overactive bladder syndrome, urinary incontinence, urgency and mixed urinary incontinence, as well as the earlier recommendations of the PSGO Urogynecology Section, was conducted. RESULTS: Management of the patients with OAB is presented. Four lines of therapy were identified: 1) educating the patient, behavioral therapy with pelvic floor muscle training, 2) pharmacotherapy, 3) botulinum toxin injection and tibial nerve stimulation; and sacral nerve stimulation even though so far it has been used only in selected populations, 4) surgical intervention. The literature reports which provided supporting evidence and presented various aspects of the therapy were discussed. OAB pharmacotherapy-related issues which are vital in everyday clinical practice were presented. CONCLUSIONS: A systematic review of the available guidelines and an analysis of OAB (including urgency urinary incontinence) management were conducted. The Polish Society of Gynecologists and Obstetricians issued the guidelines for the therapeutic management of OAB patients. The need for an individualized approach was emphasized.