Expert Opinion on Three Clinical Cases with a Common Urgent Problem: Urge Urinary Incontinence

Urgency is the cornerstone symptom of overactive bladder (OAB) syndrome, which is associated with reduced health-related quality of life (HRQoL) and affects patients with different profiles. We report here three clinical pictures of OAB: a male patient with mixed lower urinary tract symptoms (LUTS),...

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Bibliographic Details
Published in:Case reports in urology 2018, Vol.2018 (2018), p.1-6
Main Authors: Robinson, Dudley, Cornu, Jean Nicolas, Heesakkers, John P. F. A., Tubaro, Andrea
Format: Article
Language:English
Subjects:
Bladder
Care and treatment
Case Report
Case reports
Dutasteride
Human health and pathology
Life Sciences
Open access publishing
Patients
Pharmaceutical industry
Prostate cancer
Quality of life
Type 2 diabetes
Urinary incontinence
Urine
Urogenital system
Urology
Urology and Nephrology
Women
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Summary:Urgency is the cornerstone symptom of overactive bladder (OAB) syndrome, which is associated with reduced health-related quality of life (HRQoL) and affects patients with different profiles. We report here three clinical pictures of OAB: a male patient with mixed lower urinary tract symptoms (LUTS), a young woman with comorbidities, and an elderly woman with mixed urinary incontinence. The aim is to analyze the specificities of these real cases, to discuss what would be the most appropriate management, and how treatment with fesoterodine, an antimuscarinic agent with key pharmacological properties, might meet the patients’ expectations. Relevant and constructive messages are drawn: urgency, the cornerstone symptom, should be given special attention; fesoterodine is effective and well tolerated in the elderly; before switching to another medication consider increasing the dosage of fesoterodine; the major goal of initial therapy is to meet patient expectations; and involving the patient in the treatment plan increases her/his adherence.
ISSN:2090-696X
2090-6978
DOI:10.1155/2018/8567436