Use of Third Line Therapy for Overactive Bladder in a Practice with Multiple Subspecialty Providers: Beyond the Abstract

In a climate of rising healthcare costs and a growing aging population, the treatment of overactive bladder (OAB) will become increasingly important. Treatment should focus on maximizing quality of life for patients in the most cost-effective way possible. In this study we demonstrate that while only 20% of patients will find satisfactory improvement of their OAB symptoms using medications, only a fraction of the remaining 80% will receive treatment with third line therapy, even in a subspecialty tertiary referral center. Third line therapies which include onabotulinumtoxinA injections in the bladder and neuromodulation are advocated in the AUA/SUFU OAB guidelines as...

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