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Feb 1, 2018 Issue
OnabotulinumtoxinA Injections for Urge Incontinence [FPIN's Help Desk Answers]
Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.
The American College of Physicians (ACP) has provided recommendations for nonsurgical treatment of UI in women. Treatment of UI is aimed at achieving, or at least improving, symptoms. It is deemed effective if it reduces the number of episodes by at least one-half.
Jan 15, 2015 Issue
Medications for Treatment of Interstitial Cystitis [FPIN's Clinical Inquiries]
There are no long-term clinically effective oral medications. Pentosan (Elmiron) can improve overall symptom scores for interstitial cystitis over three to six months, but it does not improve scores for any of three individual symptoms (dysuria, urgency, frequency) compared with placebo.
Desmopressin is a safe and effective treatment to offer adults with clinically significant nocturia. The initial starting dose should be 50 to 100 mcg, with lower dosing for the advanced older patient. All patients should be monitored for hyponatremia.
Learn which tests should be performed after obtaining abnormal urinalysis results in patients with asymptomatic microscopic hematuria, ureteral stents, or asymptomatic bacteriuria.
This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are noteworthy because the trial was well designed and the results were unexpected.
Although routine screening for bladder cancer is not recommended, microscopic hematuria is often incidentally discovered by primary care physicians. The American Urological Association has published an updated guideline for the management of asymptomatic microscopic hematuria, which is defined as ...
Jun 1, 2013 Issue
AUA Releases Guideline on Diagnosis and Treatment of Overactive Bladder [Practice Guidelines]
Overactive bladder is characterized by urinary symptoms including urgency, frequency, and nocturia, with or without urge incontinence. The American Urological Association (AUA) recently published recommendations to provide a clinical framework for the diagnosis and treatment of non-neurogenic overactive bladder.
The American Urological Association (AUA) has released a guideline to direct physicians and patients during the diagnosis, evaluation, and follow-up of asymptomatic microhematuria in adults. Microhematuria is defined as the presence of three or more red blood cells per high-power field on a properly collected urinary specimen.
Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor muscle exercise...