Diagnosis Overactive Bladder

Oleh :

dr.Nailla Fariq Alfiani

Diagnosis overactive bladder (OAB) perlu dicurigai pada pasien yang mengeluhkan frekuensi miksi (siang ataupun malam) dan urgensi, dengan atau tanpa inkontinensia urgensi, dimana keluhan dirasakan mengganggu kualitas hidup secara bermakna. Diagnosis dan manajemen awal memerlukan pemeriksaan riwayat klinis menyeluruh, pemeriksaan fisik, dan pemeriksaan penunjang sederhana untuk mengeksklusi penyebab lain, seperti infeksi saluran kemih dan keganasan urologi.

Pada beberapa kasus, pemeriksaan penunjang tambahan mungkin diperlukan untuk memvalidasi diagnosis OAB, mengeksklusi adanya gangguan medis lain, atau merencanakan pendekatan terapeutik. Pemeriksaan penunjang ini dapat mencakup kultur urine, pengukuran volume residual setelah berkemih, dan bladder diary.[6,9,11-13]

Anamnesis

Referensi

6. Ellsworth PI. Overactive Bladder. Medscape. 2021. https://emedicine.medscape.com/article/459340-overview
7. Jayarajan J, Radomski SB. Pharmacotherapy of overactive bladder in adults: a review of efficacy, tolerability, and quality of life. Research and reports in urology, 2013. 6, 1–16. https://doi.org/10.2147/RRU.S40034
8. Palmer CJ, Choi JM. Pathophysiology of Overactive Bladder: Current Understanding. Curr Bladder Dysfunct Rep, 2017. 12, 74–79. https://doi.org/10.1007/s11884-017-0402-y
9. Gunawan IPGF, Suarjana IN, Wulandari KF. An Overview of Overactive Bladder. Bali Medical Journal (Bali MedJ), 2021. Volume 10, Number 1: 208-210
P-ISSN.2089-1180, E-ISSN: 2302-2914. 2021. https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/2266/pdf
10. Meng E, Lin W, Lee W, Chuang Y. Pathophysiology of Overactive Bladder. LUTS: Lower Urinary Tract Symptoms, 2012. 4. 10.1111/j.1757-5672.2011.00122.x. https://www.researchgate.net/publication/261542540_Pathophysiology_of_Overactive_Bladder
11. Wallace KM, Drake MJ. Overactive bladder. F1000Research, 2015. 4, F1000 Faculty Rev-1406. https://doi.org/10.12688/f1000research.7131.1
12. Nitti VW, Patel A, Karram M. Diagnosis and management of overactive bladder: A review. The journal of obstetrics and gynaecology research, 2021. 47(5), 1654–1665. https://doi.org/10.1111/jog.14708
13. Fontaine C, Papworth E, Pascoe J, Hashim H. Update on the management of overactive bladder. Therapeutic advances in urology, 2021. 13, 17562872211039034. https://doi.org/10.1177/17562872211039034
31. Wyndaele JJ. Overactive bladder, differential diagnosis, and clinical utility of fesoterodine. International journal of general medicine, 2012. 5, 943–951. https://doi.org/10.2147/IJGM.S24236
32. Wein A. Symptom-based diagnosis of overactive bladder: an overview. Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2011. 5(5 Suppl 2), S135–S136. https://doi.org/10.5489/cuaj.11183
33. Bono MJ, Reygaert WC. Urinary Tract Infection. [Updated 2021 Jun 23]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK470195/
34. Leslie SW, Sajjad H, Murphy PB. Bladder Stones. [Updated 2021 Sep 17]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK441944/
35. Ng M, Baradhi KM. Benign Prostatic Hyperplasia. [Updated 2021 Aug 11]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK558920/
36. Costantini E, Lazzeri M, Porena M. Prolasso degli organi pelvici e sintomi del basso tratto urinario: esperienza di un centro uro-ginecologico ad alto volume [Pelvic organ prolapse and lower urinary tract symptoms: experience from a high-volume uro-gynecologic center]. Urologia, 2012. 79(1), 19–23. https://doi.org/10.5301/RU.2012.8979
37. Williams JP, Hasyim H. New Developments in The Diagnosis & Management of Overactive Bladder. Clin. Pract. 2013. 10(1). https://www.openaccessjournals.com/articles/new-developments-in-the-diagnosis-and-management-of-overactive-bladder.pdf
38. Willis-Gray MG, Dieter AA, Geller EJ. Evaluation and management of overactive bladder: strategies for optimizing care. Res Rep Urol. 2016;8:113-122. Published 2016 Jul 27. doi:10.2147/RRU.S93636
39. Chung E, Lee D, Gani J, Gillman M, Maher C, Brennan J, Johns Putra L, Ahmad L, Chan LL. Position statement: a clinical approach to the management of adult non-neurogenic overactive bladder. Med J Aust. 2018 Jan 15;208(1):41-45. doi: 10.5694/mja16.01097. PMID: 29320672.

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