Evidence map›Paper›PMID 41123032›Full record

ReviewNeurourology and urodynamics2026

Phenotyping Overactive Bladder - Part 2: Can Management be Improved by Phenotyping, and Targeting Therapy According to Urgency Type and Other Characteristics? ICI-RS 2025.

Michel Wyndaele, Michael Samarinas, Apostolos Apostolidis, D Carolina Ochoa, Giovanni Mosiello, Brigitte Schurch, Pradeep Tyagi, Alan Wein, Paul Abrams, John E Speich

Abstract readReview
In one paragraph

Review in Neurourology and urodynamics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michel WyndaeleDepartment of Urology, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0003-1757-2569
Michael Samarinas2nd Department of Urology, Aristotle University, Thessaloniki, Greece.ORCID https://orcid.org/0000-0001-9424-795X
Apostolos Apostolidis2nd Department of Urology, Aristotle University, Thessaloniki, Greece.ORCID https://orcid.org/0000-0003-4694-0578
D Carolina OchoaBristol Urological Institute, Bristol, UK.ORCID https://orcid.org/0000-0002-2374-848X
Giovanni MosielloDepartment of Urology, Campus Bio-Medico University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-9626-9519
Brigitte SchurchService de Neuroréhabilitation, CHUV, Lausanne, Switzerland.ORCID https://orcid.org/0000-0003-4965-6898
Pradeep TyagiDepartment of Urology, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-6586-4545
Alan WeinDesai Sethi Institute of Urology, Miller School of Medicine, University of Miami, Miami, FL, USA.ORCID https://orcid.org/0000-0002-6910-8656
Paul Abrams2nd Department of Urology, Aristotle University, Thessaloniki, Greece.ORCID https://orcid.org/0000-0003-2776-2200
John E SpeichDepartment of Mechanical and Nuclear Engineering, Virginia Commonwealth University, Richmond, VA, USA.ORCID https://orcid.org/0000-0002-8824-4098

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

introductionManagement of overactive bladder (OAB) has a stepwise approach in adults and children. This does not account for individual patient variations, which may explain suboptimal outcomes in many patients. Distinct OAB profiles, based on patient characteristics, symptoms, urodynamic findings and imaging have been discussed in Part 1. Personalized treatment and escalation pathways based on OAB profiling may lead to faster OAB symptom control and quality of life improvement, reduced cumulative side effects and costs, and improved treatment adherence.

methodsA Think Tank at the International Consultation on Incontinence-Research Society (ICI-RS) 2025 discussed the question, "Can OAB management be improved by phenotyping, and targeting therapy according to urgency type and other characteristics?" The group discussed the current literature on this topic and developed a list of research questions and strategies to help shape the future of the field.

resultsTailored combination of antimuscarinics and/or beta3 agonists, with botulinum toxin A (BTX-A) and/or sacral nerve stimulation (SNS) was considered a high priority research topic. Profile-based individual treatment selection and delivery protocols for BTX-A and SNS are potential means to improve outcomes, as is the early escalation to BTX-A and SNS in the treatment pathway of both adults and children. Finally, phenotype-based treatment requires tight treatment outcome follow-up and possible adjustment (including re-phenotyping) for which tools need to be developed.

conclusionDevelopment and validation of a patient-based flow-chart to replace the current stepwise approach in OAB management will allow tailored treatment, aimed to improve therapeutic success, and to reduce side effects.

Indexed as

Urinary Bladder, OveractiveAdrenergic beta-3 Receptor AgonistsBotulinum Toxins, Type AElectric Stimulation TherapyHumansMuscarinic AntagonistsPhenotypeTreatment OutcomeUrodynamicsAdrenergic beta-3 Receptor AgonistsBotulinum Toxins, Type AMuscarinic Antagonistsantimuscarinicsbeta3 agonistsonabotulinum toxin Aoveractive bladderphenotypesacral nerve stimulation

Identifiers

PMID41123032
PMCPMC13238312

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.