Overactive Bladder
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition
N32.8
DESCRIPTION
A clinical syndrome consisting of urinary frequency (day and night time) and urgency, with or without urgency incontinence.
GENERAL MEASURES
Urine dipstick to exclude an UTI.
Health education.
Avoid caffeine containing, alcoholic and carbonated beverages.
Pelvic floor muscle training: three sets of 8-12 contractions sustained for 8-10 seconds each, performed three times a day. Patients should continue for at least 15-20 weeks.
MEDICINE TREATMENT
For detrusor hyperactivity:
- Oxybutynin, oral, 2.5–5 mg 8 hourly. (Specialist initiated).
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REFERRAL
- For confirmation of diagnosis.
- Complications.
- Not responding to medical therapy.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Adult Hospital Level, 2020-2024_Version 1.0_17 October 2024
Chapter 7 Nephrology/Urological Disorders_7.3 Urological Disorders_7.3.6 Overactive Bladder