e-ISSN 1973-4913
Volume : 43 Issue : 1 Year : 2024
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pelviperineology. 2022; 41(3): 149-152 | DOI: 10.34057/PPj.2022.41.03.2022-11-3

“OAB” crisis. Has ICS entropy failed one billion women?

Darren M. GOLD1
1Department of Surgery, St Vincent’s Hospital Clinical School, University of NSW, Sydney, Australia

This editorial describes how formation of the international continence society (ICS) in 1971, the standardization of definitions as well as other important advances, led to a whole new medical discipline, Incontinence; how these achievements quickly led to the magisterial status which the ICS has today. It also analyses how the ICS may have succumbed to the entropy which can affect any system over a 50-year period. Discoveries made 30 years ago which can potentially cure overactive bladder (OAB) and other bladder conditions which affect one billion women have been ignored. This fact, and the anticholinergic causation of Alzheimer’s disease has created a crisis for OAB. A suggested way forward is to change the OAB definition from “OAB” (causation in the detrusor muscle) to “OAB” (causation from structures mainly outside of the detrusor muscle). Such changes open the door to a whole new range of research and treatments, some undoubtedly not yet conceptualized.


Cite This Article

GOLD D. “OAB” crisis. Has ICS entropy failed one billion women?. 2022; 41(3): 149-152

Corresponding Author: GOLD D.

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