Page 10 - Flipbook

TREATMENT OPTIONS FOR ADULT OAB – CUA GUIDELINES

Behavioural therapies, lifestyle changes, education

FIRST LINE Fluid/caffeine/dietary modification, weight control,
management of bowel regularity, optimization of comorbidities, exercise,
smoking cessation, bladder training, pelvic floor muscle training

Pharmacological management:
• Antimuscarinics (oxybutynin, tolterodine, darifenacin, trospium, solifenacin,
SECOND LINE propiverine, fesoterodine)

• -3 adrenoceptor agonist (mirabegron)

Onabotulinumtoxin Posterior tibial Sacral
THIRD LINE A nerve stimulation neuromodulation

(BoNT-A) (PTNS) (SNM)

Indwelling catheters, augmentation cystoplasty, urinary diversion

Corcos J, et al. Can Urol Assoc J 2017;11:E142-73