Aspectos atuais no tratamento da bexiga hiperativa

Os autores fazem revisao da literatura sobre os aspectos atuais do tratamento da bexiga hiperativa, afeccao que compromete de forma significativa a qualidade de vida das mulheres. Sao analisadas, quanto a eficacia e efeitos colaterais, as diversas modalidades de tratamento, como a terapeutica medicamentosa, com suas doses e vias de administracao, as medidas comportamentais, os exercicios perineais, a eletroestimulacao transvaginal e do nervo tibial posterior, a neuromodulacao sacral, a acupuntura e, tambem, a toxina botulinica intravesical. Citam ainda as novas drogas ja aprovadas na Europa e nos Estados Unidos, com perspectiva de aprovacao para sua utilizacao no Brasil e as expectativas futuras no tratamento desta afeccao. The authors reviewed the worldwide literature about the current aspects of the overactive bladder syndrome treatment, disease that significantly compromises the women's quality of life. Several types of the treatment are analyzed as efficacy and adverse effects on present medical treatment to coadjuvant therapies, like handling medically with doses and administration, behavior measurements, perineal exercises, transvaginal eletrostimulation, posterior tibial nerve stimulation, sacral nerve neuromodulation, acupuncture and also intravesical botox application. This article also emphasizes new perspectives of medical treatment relating drugs that have already been approved in Europe and United States and will probably be approved to be used in Brazil.