Overactive Bladder

Question 1

Initial workup for OAB

Answer 1

History
Physical
UA
(UCx)
(PVR)
(Bladder diary)
(Questionnaires)

Question 2

Initial treatment for OAB

Answer 2

Counseling - not a disease and treatment optional
1. Bladder training, pelvic floor, fluid mgmt
2. Antimuscarinics or B3 agonists
-Use ER, modify dose, change agent, combo
-Avoid AC if narrow-angle glaucoma, gastroparesis, frail
3. PTNS, neuromodulation, Botox 100U
4. Augment or urinary diversion

Question 3

S3 appropriate response

Answer 3

Bellows
Plantarflexion of big toe

Question 4

S2 response

Answer 4

flexion of entire foot

Question 5

S4 response

Answer 5

No motor response in lower extremity