By vgreene, 23 December, 2014 Patient Type Header (Long) Inadequate response to (or not a candidate for) behavioral and drug tx Does this Patient Type contain sub types? No Patient Type Details Assess pharmacotherapy for efficacy and onset of side effects w in 4 8wk of tx initiation EO If inadequate response to noninvasive monotherapy may combine it w 1 of the following behavioral tx noninvasive tx pharmacotherapy minimally invasive therapies EO If inadequate response to or intolerable side effects from pharmacotherapy or behavioral tx offer 1 of the following MR A If sx have worsened or not adequately improved after intradetrusor BTX injection obtain PVR CP If inadequate response to pharmacotherapy or minimally invasive therapies may perform urodynamics UDS to further evaluate bladder function and exclude other disorders CP In severely affected pts who haven t responded to other tx options may offer bladder augmentation cystoplasty or urinary diversion EO Chronic indwelling cath urethral suprapubic recommended only when OAB therapies are contraindicated ineffective or no longer desired and always in the context of shared decision making EO