Management of Overactive Bladder in Women: Evidence-Based Recommendations from the OAB-Women Study Group, Society of Obstetricians and Gynecologists Pakistan (SOGP)

Abstract

This position paper presents evidence-based guidelines for the management of Overactive Bladder (OAB) in women, developed by the OAB-Women Study Group of the Society of Obstetricians and Gynecologists Pakistan (SOGP). The guidelines include a standard definition of OAB based on ICS/IUGA joint terminology and cover various aspects of etiology, pathophysiology, assessment, and treatment of OAB. The management flowchart outlines the patient journey from a general practitioner to a urogynecologist. OAB is a diagnosis of exclusion, and behavioral interventions are recommended as the first-line treatment. General gynecologists and urologists can provide pharmacotherapy as the second-line treatment and should know when to refer the patient for third-line treatment.

The OAB-Women Study Group was formed by SOGP to develop evidence-based recommendations for OAB management. A comprehensive literature search was conducted, and a meeting was held to draft the document, which was critically reviewed by all authors.

OAB is a complex condition that requires a multidisciplinary approach. General practitioners can manage initial treatment, with timely referral when needed. Understanding the pathogenesis of OAB can help improve management strategies and patient outcomes.

Keywords: Female; Management; Overactive Bladder (OAB)