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Vol 92, No 3 (2021)
Guidelines / Expert consensus
Published online: 2021-03-31
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The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians guidelines on the management of non-neurogenic overactive bladder syndrome in women

Magdalena E. Grzybowska1, Tomasz Rechberger2, Andrzej Wrobel2, Wlodzimierz Baranowski3, Klaudia Stangel-Wojcikiewicz4, Artur Rogowski567, Tomasz Kluz8, Elzbieta Narojczyk-Swiesciak9, Edyta Wlazlak10, Bartlomiej Burzynski11, Grzegorz Surkont10
DOI: 10.5603/GP.2021.0046
·
Pubmed: 33844243
·
Ginekol Pol 2021;92(3):236-251.
Affiliations
  1. Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland
  2. II Department of Gynecology, Medical University of Lublin, Poland
  3. Department of Gynecology and Gynecological Oncology, Military Medical Institute, Warsaw, Poland
  4. Department of Gynecology and Oncology, Jagiellonian University Medical College, Cracow, Poland
  5. Clinic of Gynecology and Obstetrics, Institute of Mother and Child, Warsaw, Poland
  6. Cardinal Stefan Wyszynski University in Warsaw, Faculty of Medicine, Collegium Medicum, Warsaw, Poland
  7. Department of Gynecology, „Inflancka” Specialist Hospital, Warsaw, Poland
  8. Department of Gynecology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
  9. Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland
  10. Department of Operative Gynecology and Gynecologic Oncology, I Department of Gynecology and Obstetrics, Medical University of Lodz, Poland
  11. Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice — Ochojec, Poland

open access

Vol 92, No 3 (2021)
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Published online: 2021-03-31

Abstract

Objectives: The aim of the publication was to present the interdisciplinary guidelines of the Urogynecology Section of the
Polish Society of Gynecologists and Obstetricians (PSGO) for the treatment of overactive bladder (OAB) syndrome based
on the available literature, expert knowledge, and everyday practice.
Material and methods: A review of the literature, including current recommendations for the treatment of overactive
bladder syndrome, urinary incontinence, urgency and mixed urinary incontinence, as well as the earlier recommendations
of the PSGO Urogynecology Section, was conducted.
Results: Management of the patients with OAB is presented. Four lines of therapy were identified: 1) educating the patient,
behavioral therapy with pelvic floor muscle training, 2) pharmacotherapy, 3) botulinum toxin injection and tibial nerve
stimulation; and sacral nerve stimulation even though so far it has been used only in selected populations, 4) surgical intervention.
The literature reports which provided supporting evidence and presented various aspects of the therapy were
discussed. OAB pharmacotherapy-related issues which are vital in everyday clinical practice were presented.
Conclusions: A systematic review of the available guidelines and an analysis of OAB (including urgency urinary incontinence)
management were conducted. The Polish Society of Gynecologists and Obstetricians issued the guidelines for the
therapeutic management of OAB patients. The need for an individualized approach was emphasized.

Abstract

Objectives: The aim of the publication was to present the interdisciplinary guidelines of the Urogynecology Section of the
Polish Society of Gynecologists and Obstetricians (PSGO) for the treatment of overactive bladder (OAB) syndrome based
on the available literature, expert knowledge, and everyday practice.
Material and methods: A review of the literature, including current recommendations for the treatment of overactive
bladder syndrome, urinary incontinence, urgency and mixed urinary incontinence, as well as the earlier recommendations
of the PSGO Urogynecology Section, was conducted.
Results: Management of the patients with OAB is presented. Four lines of therapy were identified: 1) educating the patient,
behavioral therapy with pelvic floor muscle training, 2) pharmacotherapy, 3) botulinum toxin injection and tibial nerve
stimulation; and sacral nerve stimulation even though so far it has been used only in selected populations, 4) surgical intervention.
The literature reports which provided supporting evidence and presented various aspects of the therapy were
discussed. OAB pharmacotherapy-related issues which are vital in everyday clinical practice were presented.
Conclusions: A systematic review of the available guidelines and an analysis of OAB (including urgency urinary incontinence)
management were conducted. The Polish Society of Gynecologists and Obstetricians issued the guidelines for the
therapeutic management of OAB patients. The need for an individualized approach was emphasized.

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Keywords

overactive bladder; pharmacotherapy; behavioral therapy; physiotherapy; botulinum toxin; urinary incontinence

About this article
Title

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

Journal

Ginekologia Polska

Issue

Vol 92, No 3 (2021)

Article type

Guidelines / Expert consensus

Pages

236-251

Published online

2021-03-31

Page views

1674

Article views/downloads

1206

DOI

10.5603/GP.2021.0046

Pubmed

33844243

Bibliographic record

Ginekol Pol 2021;92(3):236-251.

Keywords

overactive bladder
pharmacotherapy
behavioral therapy
physiotherapy
botulinum toxin
urinary incontinence

Authors

Magdalena E. Grzybowska
Tomasz Rechberger
Andrzej Wrobel
Wlodzimierz Baranowski
Klaudia Stangel-Wojcikiewicz
Artur Rogowski
Tomasz Kluz
Elzbieta Narojczyk-Swiesciak
Edyta Wlazlak
Bartlomiej Burzynski
Grzegorz Surkont

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