Current Bladder Dysfunction Reports最新文献

Health Disparities and Overactive Bladder: Bridging the Gap. 健康差距和膀胱过度活动：弥合差距。

IF 0.4

Current Bladder Dysfunction Reports Pub Date : 2026-01-01 Epub Date: 2026-04-28 DOI: 10.1007/s11884-026-00811-2

Susanna Gunamany, Angeleque Hartt, Rachel Kopkin, Ibukunowola Omole, Ekene A Enemchukwu

{"title":"Health Disparities and Overactive Bladder: Bridging the Gap.","authors":"Susanna Gunamany, Angeleque Hartt, Rachel Kopkin, Ibukunowola Omole, Ekene A Enemchukwu","doi":"10.1007/s11884-026-00811-2","DOIUrl":"https://doi.org/10.1007/s11884-026-00811-2","url":null,"abstract":"Purpose of the review: Overactive bladder (OAB) affects ~ 33 million Americans. Most studies enroll predominantly educated, non-Hispanic White women, limiting understanding of how social determinants, race/ethnicity, and structural inequities influence OAB burden and treatment. Evidence suggests disparities in prevalence, diagnosis, and guideline-based therapy reflect social and structural factors rather than biology.Recent findings: Literature from 2010 to 2025 notes higher OAB burden among Black, Hispanic, and lower-income women. Structural barriers (e.g., limited specialist access, high costs, restrictive insurance, and competing needs) reduce care-seeking and therapy adherence. Social and cultural factors, including stigma, mistrust, low health literacy, and language barriers, further limit engagement. Minority and low-income patients utilize pharmacologic and minimally invasive therapies less frequently despite greater symptom severity. Frailty affects treatment selection but does not appear to impact benefit. Strategies to address disparities include inclusive research, culturally tailored education, digital and community-based care, and patient navigators.Summary: OAB disparities reflect intersecting structural, socioeconomic, and cultural factors. Equity requires inclusive research, responsive education, expanded access, and policy reform to address structural determinants.Supplementary information: The online version contains supplementary material available at 10.1007/s11884-026-00811-2.","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"21 1","pages":"11"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shared Decision Making, Decision Aids and Patient Reported Outcome Measures for Overactive Bladder Care: A Review. 共同决策，决策辅助和患者报告的膀胱过度活动护理结果测量：综述。

IF 0.4

Current Bladder Dysfunction Reports Pub Date : 2026-01-01 Epub Date: 2026-02-07 DOI: 10.1007/s11884-025-00800-x

Roshan Paudel, Maanasa Bommineni, Giulia M Ippolito

{"title":"Shared Decision Making, Decision Aids and Patient Reported Outcome Measures for Overactive Bladder Care: A Review.","authors":"Roshan Paudel, Maanasa Bommineni, Giulia M Ippolito","doi":"10.1007/s11884-025-00800-x","DOIUrl":"10.1007/s11884-025-00800-x","url":null,"abstract":"Purpose of review: Shared decision making (SDM) is integral to clinical decision making for OAB. SDM is a collaborative process that takes patients' values, preferences, and goals into account when deciding on their treatment options. Decision aids (DAs) can support SDM and patient-reported outcomes (PROs) help to assess the outcomes most important to the patient.Recent findings: Twenty-five articles were retrieved and reviewed. Our search for literature about SDM in OAB found that physician recommendation is a key decisional component for patients yet that physicians' priorities may differ widely from patients' preferences. We evaluated currently available decision aids for OAB and found that none of the peer reviewed aids are publicly available, though non-peer reviewed, paper-based decision aids are available online. At least 10 PROs are available for OAB, these are regularly used in trials of efficacy and are increasingly being implemented in clinical practice. Finally, artificial intelligence applications such as large language models and machine learning based clinical risk prediction tools are emerging as a new facet to augment SDM, but there are limitations on the quality and the clinical implementation of these tools.Summary: Decision aids and patient reported outcome measures are integral to the delivery of patient-centered, individualized, shared decision making for OAB. Despite this, few freely available DAs exist and many PROs are available, which makes comparison of outcomes between treatments challenging. Emerging AI technologies may further augment the SDM however require validation prior to clinical use.","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"21 1","pages":"1"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New Imaging Techniques on the Horizon to Study Overactive and Neurogenic Bladder. 研究过度活动膀胱和神经源性膀胱的新成像技术。

IF 0.4

Current Bladder Dysfunction Reports Pub Date : 2025-01-01 Epub Date: 2025-03-05 DOI: 10.1007/s11884-025-00775-9

Nyasia M Jones, Ethan S Casto, Linda S Burkett, John E Speich, Alejandro Roldán-Alzate, Adam P Klausner

{"title":"New Imaging Techniques on the Horizon to Study Overactive and Neurogenic Bladder.","authors":"Nyasia M Jones, Ethan S Casto, Linda S Burkett, John E Speich, Alejandro Roldán-Alzate, Adam P Klausner","doi":"10.1007/s11884-025-00775-9","DOIUrl":"10.1007/s11884-025-00775-9","url":null,"abstract":"Purpose of review: This review will focus on the current usage and the potential future applications of new imaging techniques on the horizon to study overactive and neurogenic bladder.Recent findings: Bladder Near-Infrared Spectroscopy (NIRS) has been used to non-invasively identify bladder outlet obstruction, detrusor overactivity, and other forms of voiding dysfunction, but motion artifact has been a limiting factor preventing widespread adaptation. However, newer NIRS units employ accelerometers which enable isolation and splicing of motion and on-going studies show renewed promise for bladder NIRS. Ultrasound has been successfully used to evaluate bladder outlet obstruction and other forms of LUT. Techniques including m-mode evaluation of micromotion, as well as the assessment of bladder wall thickness, bladder weight, shape/circularity, vibrometry, and elastography have been explored. Dynamic bladder functional magnetic resonance imaging (fMRI) is the newest bladder imaging technology on the horizon and provides a novel method to assess bladder function alongside real-time high-resolution 3D anatomic images.Summary: Bladder imaging techniques including NIRS, ultrasound, and functional fMRI have been developed and are now being used as noninvasive techniques that could potentially supplement, or even replace, traditional Urodynamics.","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"20 1","pages":"6"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overactive Bladder: the Patient Perspective 膀胱过度活动症：患者的视角

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Current Bladder Dysfunction Reports Pub Date : 2024-01-08 DOI: 10.1007/s11884-023-00727-1

Victoria S. Edmonds, A. A. Khan

引用次数: 0

The Current State of Implantable Tibial Nerve Stimulation Therapy 植入式胫神经刺激疗法的现状

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Current Bladder Dysfunction Reports Pub Date : 2023-12-01 DOI: 10.1007/s11884-023-00711-9

Jacob Hartman-Kenzler, Joseph Pizzuti, Jason Kim

引用次数: 0

Our Knowledge of the Relationship of the Urinary Microbiome and Overactive Bladder: Past, Present, Future 我们对尿液微生物组与膀胱过度活跃关系的认识：过去、现在和未来

IF 0.4

Current Bladder Dysfunction Reports Pub Date : 2023-11-30 DOI: 10.1007/s11884-023-00726-2

Gillian E. Jacobsen, Katherine Amin

引用次数: 0

Management of the Devastated Female Urethra 受损女性尿道的处理

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Current Bladder Dysfunction Reports Pub Date : 2023-11-16 DOI: 10.1007/s11884-023-00725-3

Anne Shirley Hoselton, Paige Kuhlmann, R. Goueli

引用次数: 0

Pregnancy After Lower Urinary Tract Reconstruction: Considerations for Prenatal Management and Delivery 下尿路重建后妊娠:产前管理和分娩的考虑

Current Bladder Dysfunction Reports Pub Date : 2023-11-10 DOI: 10.1007/s11884-023-00724-4

Lauren N. Kennedy, Andrew L. Freedman, Colby P. Souders

引用次数: 0

Imaging in Pelvic Organ Prolapse — When Should It Be Routine? 盆腔器官脱垂的影像学检查-何时应作为常规检查?

Current Bladder Dysfunction Reports Pub Date : 2023-11-03 DOI: 10.1007/s11884-023-00712-8

Patricia Maymi-Castrodad, Samuel Plaska, Priyanka Gupta

引用次数: 0

Management of Urgency Urinary Incontinence After Orthotopic Neobladder 原位新膀胱术后急迫性尿失禁的处理

Current Bladder Dysfunction Reports Pub Date : 2023-11-01 DOI: 10.1007/s11884-023-00723-5

Tyler Gaines, Joshua A. Cohn

引用次数: 0