Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms of urinary urgency, frequency (>8 voids/24h), and nocturia. Denies urge incontinence, dysuria, hematuria, or pelvic pain. No history of recurrent UTIs or neurological deficits. Symptoms are persistent and impact quality of life.
Clinical Examination Findings
Abdominal exam: Soft, non-tender, no palpable bladder distension. Genitourinary exam: Normal external genitalia, no evidence of pelvic organ prolapse or urethral caruncle. Neurological: Normal lower extremity sensation and reflexes. Post-void residual (PVR) volume: [Insert volume] mL.
Treatment Protocol
Initiate behavioral therapy (bladder training, fluid management). Prescribe [Antimuscarinic/Beta-3 agonist] at [Dosage]. Schedule follow-up in 4-6 weeks to assess efficacy and monitor for side effects (e.g., dry mouth, constipation).