In a frail older adult with moderate-to-severe lower urinary tract symptoms, when do you start a beta-3 agonist like vibegron over an anticholinergic?

In a frail older adult with OAB-predominant moderate-to-severe LUTS, I generally start a β3 agonist (vibegron or mirabegron) as the first-line pharmacologic option once behavioral interventions are insufficient. Behavioral therapies may include fluid management, bladder retraining, pelvic floor exer...

For a frail older adult with moderate-to-severe lower urinary tract symptoms (LUTS).

Defining What Matters Most: The Goals of Treatment. Before starting any intervention, it is crucial to define the goals.

For a frail older adult, the primary objectives are:

• Improve Quality of Life: Reduce distress...