Actualización sobre el manejo del síndrome de vejiga urinaria hiperactiva

Abstract

Introduction: Overactive bladder (OAB) syndrome is considered a chronic and disabling condition that is characterized by a series of urinary symptoms, mainly micturition urgency isolated or in combination with urge incontinence plus increased micturition frequency in the absence of another disease. demonstrable. Methodology: A descriptive and retrospective bibliographic review was carried out. To locate bibliographic documents, various documentary sources and guides published by different local and international professional associations of urology are reviewed. An exhaustive search will be followed in repositories and scientific databases such as Pubmed, Scielo, Springer, MedLine, Redalyc, Dialnet, New England Journal of Medicine with the use of descriptors in both English and Spanish. Results: The OAB syndrome circumscribes the urinary symptoms that allow establishing an initial treatment without involving a complex test or method. In particular, urodynamic studies, cystoscopy, and either bladder or renal ultrasound are not recommended as the initial diagnosis of the patient with uncomplicated overactive bladder. In fact, the choice depends on the clinical and therapeutic history of the patient and the clinical judgment of the physician. In some cases, the additional information can guide a different treatment in cases of complicated or refractory patients who have failed multiple treatments. Conclusions: In short, an adequate, timely and updated approach is required for the different managements that involve suffering from overactive urinary bladder syndrome, considering the efficacy, adverse effects, complications and sequelae that each of the treatments can cause.