Pub Date : 2026-01-01Epub Date: 2026-02-07DOI: 10.1007/s11884-025-00800-x
Roshan Paudel, Maanasa Bommineni, Giulia M Ippolito
Purpose of review: Shared decision making (SDM) is integral to clinical decision making for OAB. SDM is a collaborative process that takes patients' values, preferences, and goals into account when deciding on their treatment options. Decision aids (DAs) can support SDM and patient-reported outcomes (PROs) help to assess the outcomes most important to the patient.
Recent findings: Twenty-five articles were retrieved and reviewed. Our search for literature about SDM in OAB found that physician recommendation is a key decisional component for patients yet that physicians' priorities may differ widely from patients' preferences. We evaluated currently available decision aids for OAB and found that none of the peer reviewed aids are publicly available, though non-peer reviewed, paper-based decision aids are available online. At least 10 PROs are available for OAB, these are regularly used in trials of efficacy and are increasingly being implemented in clinical practice. Finally, artificial intelligence applications such as large language models and machine learning based clinical risk prediction tools are emerging as a new facet to augment SDM, but there are limitations on the quality and the clinical implementation of these tools.
Summary: Decision aids and patient reported outcome measures are integral to the delivery of patient-centered, individualized, shared decision making for OAB. Despite this, few freely available DAs exist and many PROs are available, which makes comparison of outcomes between treatments challenging. Emerging AI technologies may further augment the SDM however require validation prior to clinical use.
{"title":"Shared Decision Making, Decision Aids and Patient Reported Outcome Measures for Overactive Bladder Care: A Review.","authors":"Roshan Paudel, Maanasa Bommineni, Giulia M Ippolito","doi":"10.1007/s11884-025-00800-x","DOIUrl":"https://doi.org/10.1007/s11884-025-00800-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Shared decision making (SDM) is integral to clinical decision making for OAB. SDM is a collaborative process that takes patients' values, preferences, and goals into account when deciding on their treatment options. Decision aids (DAs) can support SDM and patient-reported outcomes (PROs) help to assess the outcomes most important to the patient.</p><p><strong>Recent findings: </strong>Twenty-five articles were retrieved and reviewed. Our search for literature about SDM in OAB found that physician recommendation is a key decisional component for patients yet that physicians' priorities may differ widely from patients' preferences. We evaluated currently available decision aids for OAB and found that none of the peer reviewed aids are publicly available, though non-peer reviewed, paper-based decision aids are available online. At least 10 PROs are available for OAB, these are regularly used in trials of efficacy and are increasingly being implemented in clinical practice. Finally, artificial intelligence applications such as large language models and machine learning based clinical risk prediction tools are emerging as a new facet to augment SDM, but there are limitations on the quality and the clinical implementation of these tools.</p><p><strong>Summary: </strong>Decision aids and patient reported outcome measures are integral to the delivery of patient-centered, individualized, shared decision making for OAB. Despite this, few freely available DAs exist and many PROs are available, which makes comparison of outcomes between treatments challenging. Emerging AI technologies may further augment the SDM however require validation prior to clinical use.</p>","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"21 1","pages":"1"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-03-05DOI: 10.1007/s11884-025-00775-9
Nyasia M Jones, Ethan S Casto, Linda S Burkett, John E Speich, Alejandro Roldán-Alzate, Adam P Klausner
Purpose of review: This review will focus on the current usage and the potential future applications of new imaging techniques on the horizon to study overactive and neurogenic bladder.
Recent findings: Bladder Near-Infrared Spectroscopy (NIRS) has been used to non-invasively identify bladder outlet obstruction, detrusor overactivity, and other forms of voiding dysfunction, but motion artifact has been a limiting factor preventing widespread adaptation. However, newer NIRS units employ accelerometers which enable isolation and splicing of motion and on-going studies show renewed promise for bladder NIRS. Ultrasound has been successfully used to evaluate bladder outlet obstruction and other forms of LUT. Techniques including m-mode evaluation of micromotion, as well as the assessment of bladder wall thickness, bladder weight, shape/circularity, vibrometry, and elastography have been explored. Dynamic bladder functional magnetic resonance imaging (fMRI) is the newest bladder imaging technology on the horizon and provides a novel method to assess bladder function alongside real-time high-resolution 3D anatomic images.
Summary: Bladder imaging techniques including NIRS, ultrasound, and functional fMRI have been developed and are now being used as noninvasive techniques that could potentially supplement, or even replace, traditional Urodynamics.
{"title":"New Imaging Techniques on the Horizon to Study Overactive and Neurogenic Bladder.","authors":"Nyasia M Jones, Ethan S Casto, Linda S Burkett, John E Speich, Alejandro Roldán-Alzate, Adam P Klausner","doi":"10.1007/s11884-025-00775-9","DOIUrl":"10.1007/s11884-025-00775-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review will focus on the current usage and the potential future applications of new imaging techniques on the horizon to study overactive and neurogenic bladder.</p><p><strong>Recent findings: </strong>Bladder Near-Infrared Spectroscopy (NIRS) has been used to non-invasively identify bladder outlet obstruction, detrusor overactivity, and other forms of voiding dysfunction, but motion artifact has been a limiting factor preventing widespread adaptation. However, newer NIRS units employ accelerometers which enable isolation and splicing of motion and on-going studies show renewed promise for bladder NIRS. Ultrasound has been successfully used to evaluate bladder outlet obstruction and other forms of LUT. Techniques including m-mode evaluation of micromotion, as well as the assessment of bladder wall thickness, bladder weight, shape/circularity, vibrometry, and elastography have been explored. Dynamic bladder functional magnetic resonance imaging (fMRI) is the newest bladder imaging technology on the horizon and provides a novel method to assess bladder function alongside real-time high-resolution 3D anatomic images.</p><p><strong>Summary: </strong>Bladder imaging techniques including NIRS, ultrasound, and functional fMRI have been developed and are now being used as noninvasive techniques that could potentially supplement, or even replace, traditional Urodynamics.</p>","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"20 1","pages":"6"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-08DOI: 10.1007/s11884-023-00727-1
Victoria S. Edmonds, A. A. Khan
{"title":"Overactive Bladder: the Patient Perspective","authors":"Victoria S. Edmonds, A. A. Khan","doi":"10.1007/s11884-023-00727-1","DOIUrl":"https://doi.org/10.1007/s11884-023-00727-1","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"23 8","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1007/s11884-023-00711-9
Jacob Hartman-Kenzler, Joseph Pizzuti, Jason Kim
{"title":"The Current State of Implantable Tibial Nerve Stimulation Therapy","authors":"Jacob Hartman-Kenzler, Joseph Pizzuti, Jason Kim","doi":"10.1007/s11884-023-00711-9","DOIUrl":"https://doi.org/10.1007/s11884-023-00711-9","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":" 773","pages":"274 - 279"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138610615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.1007/s11884-023-00726-2
Gillian E. Jacobsen, Katherine Amin
{"title":"Our Knowledge of the Relationship of the Urinary Microbiome and Overactive Bladder: Past, Present, Future","authors":"Gillian E. Jacobsen, Katherine Amin","doi":"10.1007/s11884-023-00726-2","DOIUrl":"https://doi.org/10.1007/s11884-023-00726-2","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"43 1","pages":"285 - 292"},"PeriodicalIF":0.4,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-10DOI: 10.1007/s11884-023-00724-4
Lauren N. Kennedy, Andrew L. Freedman, Colby P. Souders
{"title":"Pregnancy After Lower Urinary Tract Reconstruction: Considerations for Prenatal Management and Delivery","authors":"Lauren N. Kennedy, Andrew L. Freedman, Colby P. Souders","doi":"10.1007/s11884-023-00724-4","DOIUrl":"https://doi.org/10.1007/s11884-023-00724-4","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"89 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135091582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-03DOI: 10.1007/s11884-023-00712-8
Patricia Maymi-Castrodad, Samuel Plaska, Priyanka Gupta
{"title":"Imaging in Pelvic Organ Prolapse — When Should It Be Routine?","authors":"Patricia Maymi-Castrodad, Samuel Plaska, Priyanka Gupta","doi":"10.1007/s11884-023-00712-8","DOIUrl":"https://doi.org/10.1007/s11884-023-00712-8","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"20 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135868124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-28DOI: 10.1007/s11884-023-00717-3
Rei Ben Muvhar, Jonathan Wagmaister, Matan Mekayten
{"title":"Navigating the Diagnostic Maze: Unraveling the Non-invasive Evaluation of Bladder Outlet Obstruction in Men—a Comprehensive Systematic Review","authors":"Rei Ben Muvhar, Jonathan Wagmaister, Matan Mekayten","doi":"10.1007/s11884-023-00717-3","DOIUrl":"https://doi.org/10.1007/s11884-023-00717-3","url":null,"abstract":"","PeriodicalId":10860,"journal":{"name":"Current Bladder Dysfunction Reports","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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