O. Lenaine Westney, MD, presented “Overactive Bladder in the Male Radiated Patient: What Works” during the 42nd Annual Ralph E. Hopkins Urology Seminar on February 4, 2023, in Jackson Hole, Wyoming.
How to cite: Westney, O. Lenaine “Overactive Bladder in the Male Radiated Patient: What Works.” February 4, 2023. Accessed Jul 2024. https://grandroundsinurology.com/overactive-bladder-in-the-male-radiated-patient-what-works/
Overactive Bladder in the Male Radiated Patient: What Works – Summary
Lenaine Westney, MD, addresses the pathophysiology of OAB in the context of radiation therapy, highlighting the impact of radiation-induced changes on bladder function. She discusses the common symptoms experienced by these patients, including urgency, frequency, and nocturia, and emphasizes the unique challenges posed by radiation-induced bladder damage.
Dr. Westney emphasizes the importance of a thorough evaluation to differentiate OAB from other potential causes of lower urinary tract symptoms. She discusses the role of urodynamic studies, cystoscopy, and imaging in accurately diagnosing OAB in radiated patients.
Treatment options are examined in detail, starting with behavioral and lifestyle modifications. Dr. Westney also reviews pharmacologic therapies, including antimuscarinics and beta-3 adrenergic agonists, discussing their efficacy and safety profiles in the radiated population. Further, Dr. Westney explores the use of intravesical botulinum toxin injections, sacral neuromodulation, and augmentation cystoplasty when advanced therapies are needed.
About The 42nd Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 42nd iteration of the meeting took place from February 1st to 4th, 2023, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Dr. O. Lenaine Westney is a Professor in the Department of Urology at the University of Texas MD Anderson Cancer Center. Her areas of clinical expertise are postprostatectomy incontinence, neurogenic voiding dysfunction, post-radiation urinary tract reconstruction and urinary diversion. In her role as the primary urologic reconstructive surgeon in the Department, she has emphasized clinical and research collaborations with Colorectal, Gynecologic Oncology and Plastics Surgery with the goal of improving management and outcomes of urinary tract structural and functional disorders in patients with pelvic malignancy. She is certified in Female Pelvic Medicine and Reconstructive Surgery and directs the MDACC Urinary Tract and Pelvic Reconstruction fellowship program. Additionally, she has authored articles and chapters dealing with the management of incontinence in high-risk patient populations. Her current interest research focuses on the long-term sexual and voiding dysfunction in colorectal cancer patients, the progression of voiding symptoms in hypoestrogenic states and post-prostatectomy urinary complications. Dr. Westney is active as a member many local, national and international surgical societies.
