Overactive Bladder in the Geriatric Patient

CASE PRESENTATION
A 72-year-old woman presents with frequency (12-15 times per day), urgency, urge incontinence, and nocturia (four times per evening). She has had symptoms for more than five years and has not discussed this with her primary care physician. She had a hysterectomy more than 20 years ago. She is not sexually active because of the embarrassment of incontinence. Physical exam reveals a minimal cysto- urethrocele with pale-appearing atrophic vaginal mucosa. Her urinalysis is negative.

DISCUSSION
Overactive bladder (OAB) describes a range of lower urinary tra...