When is invasive testing indicated in the workup of overactive bladder (OAB) in children?

Updated: Apr 01, 2019
  • Author: Pamela I Ellsworth, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Noninvasive diagnostic techniques are often used in the diagnostic evaluation of overactive bladder (OAB). Invasive testing is performed for selected indications, including the following:

  • Straining or use of the Credé maneuver during voiding
  • Weak or decreased urine stream
  • Previous febrile urinary tract infection (UTI)
  • Continuous dribbling incontinence
  • Stress incontinence
  • Prior history of vesicoureteral reflux
  • Structural abnormalities on physical examination suggestive of an underlying neurologic etiology
  • Suspected obstruction

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