Overactive bladder: Symptom complex or separate entity?
In addition to the series of lectures summarized in the articleson the preceding pages, the 2011 Canadian UrologyForum also included a series of workshops intended tohelp answer the question: “Does overactive bladder (OAB)exist as a separate entity or is it a symptom complex thatmay be associated with other conditions?”In an effort to arrive at an answer to this question, theparticipants were divided into groups and asked to examinea particular subset of patients with OAB. The subsets were:females, males, neurogenic and elderly. In each of theseworkshops, the participants were asked to answer the followingquestions:• What is the most likely underlying cause?• Are there unique phenotypes that can be identifiedclinically that are linked to a common underlyingpathophysiology?• What is the likelihood of associated disorders of theoutlet or pelvic floor?• What are the most effective treatments?Each of the groups then reported their answers back tothe entire group of participants, after which time they wereasked to vote on the key question. This review provides asummary of the discussions that took place in each groupand concludes with the results of the vote.