Overactive bladder (OAB) syndrome is a chronic disabling condition that affects both men and women. It is a little known condition and is diagnosed on symptom presentation, which is mainly urgency but with associated frequency, nocturia and urge incontinence. It is important to assess the individual using the correct process and then
initiate first-line conservative therapies, which are usually behaviour modifying. If these are ineffective, second-line pharmacology preparations can be introduced. This article explores these aspects.