Conduite à tenir pour l'utilisation des anticholinergiques en médecine générale dans le traitement de l'hyperactivité vésicale

As the primary caregiver, the general practitioner has to make many first-line decisions concerning the management of patients with urinary incontinence. After having established the diagnosis of overactive bladder, a few complementary tests can be useful before deciding whether the patient should be referred to a specialist to consider a more treatment adapted. It is particularly important to monitor and reassess certain parameters such as the Mini Mental Status and needs for instrumental activities of daily living (IADL). The general practitioner's primary role is to determine how to best handle complex treatments, balancing the potential benefits versus potential risks of anticholinergic drugs in this elderly population with multiple disorders and an already long list of medications.