Surgical Management of the Overactive Bladder Evacuation Disorders

Raymond R. Rackley and Joseph Abdelmalak

Overactive bladder (OAB) is a term describing the complex symptoms and conditions of urinary frequency and urgency, with or without urge incontinence and may affect more than 17 million Americans. Although OAB may be successfully managed in a variety of ways, the majority of cases (50%-80%) presenting to the physicians respond to the triad of measures integrating the individual merits of behavior modification, pelvic muscle physiotherapy, and pharmacotherapy. Awareness by patients and primary care physicians of new advances in this trivium of OAB management has resulted in an increasing number of referred cases to the pelvic health specialist for this condition in which the prevalence is not only much higher than previously expected, but also increasing with the aging of our population. The growing awareness and increasing prevalence of this manageable condition not only increases the absolute number of referred cases, but also the number of cases that will be refractory to the trivium of standard management. However, continued advances in patient evaluation as well as behavioral modification, physiotherapy, pharmacology, and surgical interventions continue to evolve our multimodal strategies for the management of refractory cases of OAB. The merits of evolving surgical management strategies for refractory cases of OAB are reviewed below.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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