By rray, 12 July, 2024 Weigh risks of short and long term surgical morbidity need for CIC for continent diversions or bladder augmentation and absence of data on QOL outcomes
By rray, 12 July, 2024 If inadequate response to pharmacotherapy or minimally invasive therapies may perform urodynamics UDS to further evaluate bladder function and exclude other disorders CP
By rray, 12 July, 2024 DO may represent a different OAB phenotype correlates w worse sx and greater QOL impairment
By rray, 12 July, 2024 Consider if suspicion of poor bladder compliance Pts may not respond as well to medical or interventional OAB tx and need surgical procedures e g bladder augmentation to achieve sx resolution
By rray, 12 July, 2024 If mixed urinary incontinence or unaware incontinence UDS voiding diary may give clues on bladder sensation DO presence and characteristics volume at which incontinence occurs and stress leak point pressure
By rray, 12 July, 2024 May be esp helpful if suspicious of other diagnoses e g BOO SUI acontractile or underactive detrusor that presents w OAB sx
By rray, 12 July, 2024 If sx have worsened or not adequately improved after intradetrusor BTX injection obtain PVR CP
By rray, 12 July, 2024 If pt empties well after 1st BTX injection may check PVR post procedure for subsequent injections retention after hx of good emptying is rare
By rray, 12 July, 2024 If acute UTI treat based on AUA CUA SUFU Recurrent Uncomplicated UTIs in Women guideline
By rray, 12 July, 2024 If PVR uarr w respect to voided volume i e PVR 100 300 mL may start CIC based on voiding emptying sx or UTI presence