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These activities are provided
by the University of Nebraska
Medical Center, Center for Continuing Education
and eMedicine.
These activities are supported by
an educational grant
from Novartis.
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INTRODUCTION
Overactive bladder (OAB) is a treatable medical condition that is becoming increasingly prevalent in the general population; indeed, according to some estimates, at least 33 million adults in the United States alone have OAB. The condition’s incidence increases with age, with approximately 20% of individuals older than 70 years experiencing symptoms.
OAB is often associated with significant deterioration in quality of life along with decreased productivity and concomitant economic costs. OAB may be underdiagnosed, with only a minority of people who have the condition receiving necessary treatment and support services.
The aim of this CME series is to educate physicians on (1) clinical aspects of OAB, including its prevalence and incidence; (2) typical clinical presentations; (3) diagnostic criteria and strategies for identifying at-risk patients; (4) diagnostic modalities; and (5) medical, surgical, and other treatments. Each course provides a maximum of 1 AMA PRA Category 1 Credit™.
Please note that the courses are accredited only for physicians (MD, DO, or equivalent). All other participants receive a certificate of completion.
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A 47-Year-Old Woman With Urinary Incontinence |
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DESCRIPTION
Marcia J—, a 47-year-old black woman, presents to her primary care physician because of significant urinary urgency over the past 3-4 months. She denies having these symptoms previously except when she had somewhat frequent urinary tract infections over the years. She attributes her current overwhelming urge to urinate to these past infections. Two urinalyses and cultures in the last 3 months have revealed clean urine with no evidence of infection or microscopic hematuria.
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A 78-Year-Old Woman With Urinary Urgency |
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DESCRIPTION
Jane W—, a 78-year-old Asian woman living in a retirement community, has recently become incontinent of large amounts of urine. Her "accidents" are particularly troubling to her when they occur during social activities with other community members, as she must leave without explanation to get cleaned up. For a few years, she has often felt an overwhelming urge to urinate and has planned her activities to always allow quick access to a bathroom. Because she now gets little or no warning, she is concerned and anxious about embarrassing herself.
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A 57-Year-Old Man With Diabetes and Urinary Incontinence |
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DESCRIPTION
John W—, a banker, presents because of urinary difficulties that have worsened over the past 6-8 months. His main concern is nocturia. He voids 4-6 times at night, in addition to 10-12 times during the day. These problems are somewhat reminiscent of those he experienced approximately 2 years ago, before undergoing a transurethral resection of the prostate for benign prostatic hyperplasia. |
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