Management of Overactive Bladder in the Young Man

Purpose of Review In this review, the current literature regarding idiopathic overactive bladder (OAB) in the young male will be discussed. We will also share the unique experience of providers at a single military institution in treating this specific patient population and their recommendations based on the unique etiologies, comorbidities, and treatment response and adherence. Recent Findings Despite several studies addressing idiopathic OAB and providing the basis for existing guidelines, none offer guidance on how this syndrome affects a younger male population in whom OAB is less likely to be due to an obstructive etiology, nor is there guidance on the optimal approach to efficient assessment and management in this patient population. Adherence to the American Urological Association guidelines with more liberal use of adjunctive diagnostic measures with early escalation of therapy when symptoms are not adequately controlled may expedite OAB symptom management more appropriately in young men. Prospective studies focusing on OAB treatment in this patient population are needed to better understand and better treat OAB in this patient population.