Year: 2026
Type: article
Abstract: Overactive bladder (OAB) is a relevant clinical problem in modern urology, gynecology, neurology, and general practice. According to a recent systematic review and meta-analysis, the global prevalence of OAB is approximately 20%, with higher prevalence among women and people aged ≥ 60 years. OAB significantly impairs patients’ quality of life, while several aspects of its pathophysiology remain incompletely understood. The objective: to review the literature on the diagnosis of OAB, anxiety, and depression using relevant questionnaires, and to assess their mutual impact on disease course and patients’ quality of life. The development of OAB involves neurogenic and non-neurogenic mechanisms. Because OAB-like symptoms may occur in underlying or potentially treatable conditions, timely identification of comorbid pathology is important. Psycho-emotional factors, particularly anxiety and chronic stress, may influence lower urinary tract function and worsen OAB symptoms. At the same time, psychological symptoms may coexist with somatic disorders and require careful differential assessment. Standardized screening instruments, including the Hospital Anxiety and Depression Scale and the Patient Health Questionnaire Anxiety and Depression Scale, can be used to assess psychological symptoms. Their use alongside OAB evaluation can support a more comprehensive assessment of the patient and help individualize management. Conclusions. Timely diagnosis of OAB and assessment of anxiety and depression, particularly in the setting of prolonged psycho-emotional stress, are important components of comprehensive patient care aimed at improving quality of life.
Source: Health of Man
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7204565171