Evidence map›Paper›PMID 42223703›Full record

ReviewWorld journal of urology2026

Navigating the challenges of overactive bladder management in women.

Andrea Braga, Howard B Goldman, Anna Padoa, Maurizio Serati

Abstract readReview
In one paragraph

Review in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Andrea BragaDepartment of Gynecology and Obstetrics, Ente Ospedaliero Cantonale - Beata Vergine Hospital, Mendrisio, Switzerland.ORCID http://orcid.org/0000-0002-4877-0640
Howard B GoldmanGlickman Urologic Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Ave, Q10, Cleveland, OH, 44195, USA. GOLDMAH@ccf.org.
Anna PadoaDepartment of Obstetrics and Gynecology, Chaim Sheba Medical Center, Ramat Gan, Israel.ORCID http://orcid.org/0000-0002-9032-3852
Maurizio SeratiDepartment of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy.ORCID http://orcid.org/0000-0002-8534-646X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOveractive bladder (OAB) is common among women, increases in prevalence with age, and exerts a considerable physical, psychological and socioeconomic burden. This narrative review discusses issues specific to the management of OAB in women.

methodsThe review is based on discussions at a symposium held at the International Urogynecological Association/European Urogynaecological Association meeting (Barcelona, Spain; June 2025) supplemented by a PubMed search of articles (published in English since 1 January 2020) describing current treatment practices, unmet clinical needs and future directions for the management of OAB in women.

resultsThe pathophysiology of OAB in women is multifactorial, involving detrusor overactivity, urothelial and sensory dysfunction, and central nervous system dysregulation, with additional contributions from hormonal and age-related changes. Management of OAB has evolved toward an individualised, stepwise approach. Behavioural and lifestyle interventions remain first-line therapy, followed by pharmacological options, such as antimuscarinics and β3-adrenergic agonists. For refractory cases, onabotulinumtoxin A and neuromodulation are established third-line treatments. Local oestrogen therapy or prasterone may provide benefit in selected postmenopausal women, whereas radiofrequency and urethral bulking strategies remain investigational. Emerging evidence supports newer β3-agonists, such as vibegron, which may provide comparable efficacy to established β3-agonists (e.g. mirabegron) with improved cardiovascular tolerability. Treatment selection for women with OAB should consider comorbidities, drug safety, cognitive and cardiovascular risk in older patients, and challenges with adherence.

conclusionFurther research into underlying mechanisms, long-term outcomes and strategies to optimise treatment adherence will be essential to improve symptom control and quality of life for women living with OAB.

Indexed as

Urinary Bladder, OveractiveAdrenergic beta-3 Receptor AgonistsBotulinum Toxins, Type AFemaleHumansMuscarinic AntagonistsAdrenergic beta-3 Receptor AgonistsBotulinum Toxins, Type AMuscarinic AntagonistsAdrenergic beta-3 receptor agonistsMuscarinic antagonistsOveractive bladderUrgency incontinenceWomen’s health

Identifiers

PMID42223703
PMCPMC13226424

What OpenQuestion holds

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Registered trials

None linked

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.