Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives

Dudley Robinson, Miriam O’Kane, Linda Cardozo Department of Urogynaecology, King’s College Hospital, London, UKCorrespondence: Dudley Robinson, Department of Urogynaecology, King’s College Hospital, Suite 8, Level 3, Golden Jubilee Wing, London, SE5 9RS, UK, Tel +447966485503, Email dudley.robinson@...

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Main Authors: Robinson D, O'Kane M, Cardozo L
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:International Journal of Women's Health
Subjects:
Online Access:https://www.dovepress.com/adherence-to-overactive-bladder-syndrome-treatments-recent-development-peer-reviewed-fulltext-article-IJWH
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author Robinson D
O'Kane M
Cardozo L
author_facet Robinson D
O'Kane M
Cardozo L
author_sort Robinson D
collection DOAJ
description Dudley Robinson, Miriam O’Kane, Linda Cardozo Department of Urogynaecology, King’s College Hospital, London, UKCorrespondence: Dudley Robinson, Department of Urogynaecology, King’s College Hospital, Suite 8, Level 3, Golden Jubilee Wing, London, SE5 9RS, UK, Tel +447966485503, Email dudley.robinson@nhs.netAbstract: Overactive bladder (OAB) is a common and distressing condition which is known to have a significant effect on Health-Related Quality of Life (HRQoL). Whilst all patients complaining of overactive bladder symptoms will, in theory, initially benefit from conservative measures, many will require pharmacological therapy. Antimuscarinics currently remain the most commonly used drugs to treat OAB although compliance and persistence can be poor due to concerns regarding adverse events and lack of efficacy. This review will explore the common management strategies for OAB with a particular focus on patient adherence to therapy including compliance and persistence. The role of antimuscarinics and the B3-agonist, mirabegron, will be considered along with barriers to their efficacy and adoption. For those patients in whom conservative and pharmacological treatment proves ineffective or is unsuitable, the management of refractory OAB will also be considered. In addition, the role of current and future developments will be examined.Keywords: OAB, adherence, compliance, persistence, antimuscarinics, β3 agonists
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spelling doaj.art-65ae77a5d46841d9a905a0d5a4230fac2023-05-23T18:52:22ZengDove Medical PressInternational Journal of Women's Health1179-14112023-05-01Volume 1579981183935Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future PerspectivesRobinson DO'Kane MCardozo LDudley Robinson, Miriam O’Kane, Linda Cardozo Department of Urogynaecology, King’s College Hospital, London, UKCorrespondence: Dudley Robinson, Department of Urogynaecology, King’s College Hospital, Suite 8, Level 3, Golden Jubilee Wing, London, SE5 9RS, UK, Tel +447966485503, Email dudley.robinson@nhs.netAbstract: Overactive bladder (OAB) is a common and distressing condition which is known to have a significant effect on Health-Related Quality of Life (HRQoL). Whilst all patients complaining of overactive bladder symptoms will, in theory, initially benefit from conservative measures, many will require pharmacological therapy. Antimuscarinics currently remain the most commonly used drugs to treat OAB although compliance and persistence can be poor due to concerns regarding adverse events and lack of efficacy. This review will explore the common management strategies for OAB with a particular focus on patient adherence to therapy including compliance and persistence. The role of antimuscarinics and the B3-agonist, mirabegron, will be considered along with barriers to their efficacy and adoption. For those patients in whom conservative and pharmacological treatment proves ineffective or is unsuitable, the management of refractory OAB will also be considered. In addition, the role of current and future developments will be examined.Keywords: OAB, adherence, compliance, persistence, antimuscarinics, β3 agonistshttps://www.dovepress.com/adherence-to-overactive-bladder-syndrome-treatments-recent-development-peer-reviewed-fulltext-article-IJWHoabadherencecompliancepersistenceantimuscarinicsbeta 3 agonists
spellingShingle Robinson D
O'Kane M
Cardozo L
Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
International Journal of Women's Health
oab
adherence
compliance
persistence
antimuscarinics
beta 3 agonists
title Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
title_full Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
title_fullStr Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
title_full_unstemmed Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
title_short Adherence to Overactive Bladder Syndrome Treatments Recent Developments and Future Perspectives
title_sort adherence to overactive bladder syndrome treatments recent developments and future perspectives
topic oab
adherence
compliance
persistence
antimuscarinics
beta 3 agonists
url https://www.dovepress.com/adherence-to-overactive-bladder-syndrome-treatments-recent-development-peer-reviewed-fulltext-article-IJWH
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