The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guideline on the diagnostic management of non-neurogenic overactive bladder syndrome in women.

OBJECTIVES

The aim of this Guideline was to devise a standardized and simplified diagnostic overview of women with urinary urgency and other symptoms indicative of the overactive bladder (OAB) syndrome.

MATERIAL AND

METHODS

A review of the available literature about the diagnostic processes for the OAB syndrome, in-cluding current international guidelines, original and review articles, was conducted. Data quality, benefit-to-risk ratio, resource availability in Poland, and expert consensus were considered when developing this Guideline.

RESULTS

Clinical evaluation of patients with symptoms suggestive of OAB should encompass medical history - general as well as focused, physical examination, and urinalysis. Ultrasound examination of the bladder, with the assessment of post-void residual measurement, as well as a voiding diary might be crucial supplementary diagnostic measures. If the abovementioned management allows us to exclude other causes of the symptoms, the diagnosis of OAB is established and pharmacotherapy may be initiated. Endoscopy, imaging tests other than bladder ultrasound, cytology and uro-dynamics may prove to be necessary if urinary urgency is accompanied by the following: hematuria, pelvic mass, voiding symptoms, pelvic pain, neurological diseases, or other diseases which may affect the functioning of the urinary tract.

CONCLUSIONS

A diagnostic scheme for the OAB syndrome, subdivided into the initial and specialized evaluation, was designed. The significance of each test was discussed in the Guideline.