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Pathophysiological mechanisms underlying the overactive bladder

delete2026-05-22
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PRE
AI
N
Néha Sihra
S
Sachin Malde *
DOI:10.1016/j.autneu.2026.103440delete
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Abstract

Abstract

En 中文
Overactive bladder is a heterogenous condition, with several phenotypes, and a complex pathophysiology. The principal pathophysiological mechanisms for the development of OAB are based on the urotheliogenic, myogenic, neurogenic and urethrogenic theories. The most well-described contributors to these pathophysiological mechanisms are metabolic syndrome, sex hormone deficiency, altered urinary microbiota, functional gastrointestinal disorders, affective disorders, autonomic nervous system dysfunction, and bladder outflow obstruction. This review describes the normal physiology of the lower urinary tract, and summaries the pathophysiological mechanisms behind overactive bladder.
Keywords:
Overactive bladder
Pathophysiology
Urotheliogenic theory
Myogenic theory
Neurogenic theory

Journal

A
Autonomic Neuroscience
IF:
0
Papers:
105
Citations:
1

Organization

B
Barts and The London NHS Trust
Scholars:
4
Papers: 4
Citations: 0
G
Guy's and St Thomas' NHS Foundation Trust
Scholars:
521
Papers: 264
Citations: 35