TY - JOUR T1 - Overactive bladder in men: a practical approach JF - British Journal of General Practice JO - Br J Gen Pract SP - 298 LP - 299 DO - 10.3399/bjgp18X696593 VL - 68 IS - 671 AU - Alexandra L Millman AU - Douglas C Cheung AU - Cian Hackett AU - Dean Elterman Y1 - 2018/06/01 UR - http://bjgp.org/content/68/671/298.abstract N2 - Overactive bladder (OAB) is a significant source of morbidity in males, with a prevalence of 10–16%, and with only a small fraction of these being treated.1–3 OAB results in considerable and progressive deleterious effects on the productivity and quality of life (QoL) of patients, leading to a substantial economic burden of disease, related to increased absenteeism, worry about interruption and scheduling of meetings, early retirement, and permanent disability.4,5Symptoms of OAB are often attributed to bladder outflow obstruction (BOO) in males, resulting in misdiagnosis and delays in treatment. Given its prevalence, QoL impact, and the availability of initial non-invasive and well-tolerated management options, OAB is often best addressed in the primary care setting.HistoryThe International Continence Society (ICS) defines OAB as a symptom complex primarily dominated by urinary urgency with or without urge incontinence, usually associated with urinary frequency and nocturia in the absence of other pathology. In contrast, bladder outlet obstruction (BOO) customarily presents with weak or intermittent stream, hesitation, straining, and incomplete emptying. Patients may present in practice with a spectrum of voiding complaints and symptoms of both OAB and BOO may be found in any given patient (in part due to coexistent disease and/or overlapping pathophysiology). If … ER -