By vgreene, 23 December, 2014 If inadequate response to noninvasive monotherapy may combine it w 1 of the following behavioral tx noninvasive tx pharmacotherapy minimally invasive therapies EO
By vgreene, 23 December, 2014 Not recommended: indwelling cath (transurethral, suprapubic, etc) d/t adverse risk/benefit (except as last resort) [EO]
By vgreene, 23 December, 2014 If severe, refractory, complicated OAB: in extremely rare cases, consider augmentation cystoplasty or urinary diversion [EO]
By vgreene, 23 December, 2014 If incremental but unsatisfactory improvement May initiate additional therapies When combining 2 therapies proceed in stepwise fashion w o adding multiple treatments simultaneously
By vgreene, 23 December, 2014 If no improvement Discontinue 1 or both therapies pursue other treatments
By vgreene, 23 December, 2014 Combo tx options include nbsp nbsp TTNS Kegel exercises bladder training significant improvement in women nbsp nbsp Adding tolterodine ER to combo of PFMT behavioral changes overall but nonsignificant improvement in males nbsp nbsp TTNS vaginal stimulatio
By vgreene, 23 December, 2014 Assess pharmacotherapy for efficacy and onset of side effects w in 4 8wk of tx initiation EO