In order to diagnose and treat overactive bladder syndrome, it is necessary to conduct a detailed interview with the patient and perform a series of tests. Find out which tests will help to diagnose an overactive bladder.

If the doctor suspectsoveractive bladder syndrome , before orderingtests , he should first interview the patient. The key question should be about the presence of urgency and pollakiuria (with or without urinary incontinence). If the answer is yes, the circumstances of these symptoms should be established. It is recommended to gather information on comorbidities and past diseases, surgery, childbirth, pain, haematuria, as well as determining the hormonal status. A three-day micturition diary is a helpful clinical tool. It provides important information for the correct diagnosis of fluid intake, number of incontinence episodes, frequency of urination, number of nocturnal voids (nocturia), number and severity of urgency, severity of urinary incontinence based on the amount of absorption products used. When collecting an interview, it is also worth asking about the quality of life and the willingness to undergo treatment.

Overactive bladder: physical examination

  • abdominal examination - performed in terms of abdominal resistance and a palpable, overfilled bladder;
  • vaginal examination - includes the assessment of the statics of the walls of the reproductive organ and the assessment
  • estrogenic vaginal mucosa;
  • rectal examination in men - includes the assessment of the muscle tone of the anal sphincters and the size of the prostate gland and the assessment of possible pathological changes

Overactive bladder syndrome: basic research

urine analysis and culture is performed mainly to exclude lower urinary tract infection, which may give symptoms analogous to OAB.

Overactive bladder: imaging tests

Ultrasound with the assessment of post-voiding urine retention helps in the assessment of post-voiding urine retention, which is especially important in the case of people with impaired voiding during the voiding phase, it has a significant impact on determining the further form of treatment for overactive bladder syndrome.

Overactive bladder: additional tests

  • urethrocystography;
  • mictural cystourethrography;
  • cystouretroscopy;

Urodynamic examination - recommended as the last of the following diagnostic procedures. It is not required for the initial diagnosis of overactive bladder syndrome. It is recommended only in the case of complications of an overactive bladder, before surgery and when the previous therapy has not brought the expected effect.

materials of the Association of NTM People "UroConti"

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Research