title: Considerations for the management of urgency symptoms in patients with overactive bladder syndrome.
abstract: BACKGROUND
  Traditionally, urinary frequency and/or urgency incontinence have been the primary outcome measurements for the symptom complex of overactive bladder (OAB). However, urgency, by definition, precedes urgency incontinence, and drives frequency and nocturia in OAB and should be considered in this pivotal role.
  
  
  METHODS
  Review of published literature on this topic.
  
  
  RESULTS
  The management of urgency is evolving as of major clinical importance to patients. Recent use of diary-based urgency metrics has advanced our knowledge of the presence and nature of urgency symptoms, the impact on QoL and the response to treatment options.
  
  
  CONCLUSIONS
  It is logical that the management of the number of urgency episodes and the degree of urgency, as well as the impact and bother associated with this core symptom are all taken into consideration along with patient interpretation to facilitate an effective outcome.
authors.affiliation: Department of Urogynaecology, King’s College Hospital, London SE5 9RS, UK. lcardozo@compuserve.com
authors.forename: Linda D
authors.initials: LD
authors.lastname: Cardozo
authors.forename: Philip E V A
authors.initials: PE
authors.lastname: Van Kerrebroeck
authors.forename: David R
authors.initials: DR
authors.lastname: Staskin
mesh_terms: D006801:Humans; D018727:Muscarinic Antagonists / Q000627:therapeutic use*; D053201:Urinary Bladder, Overactive / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D053202:Urinary Incontinence, Urge / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology
chemical_list: D018727:Muscarinic Antagonists
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