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Related Experiment Videos

Observed patient compliance with a structured outpatient bladder retraining program.

A G Visco1, A C Weidner, G W Cundiff

  • 1Division of Gynecologic Specialties, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA. visco001@mc.duke.edu

American Journal of Obstetrics and Gynecology
|December 22, 1999
PubMed
Summary
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Patient compliance with telephone-based bladder retraining was low, with only 45% completing the program. Concurrent pharmacologic therapy use was higher in completers, suggesting its importance for successful bladder retraining outcomes.

Area of Science:

  • Urology
  • Pelvic Health
  • Behavioral Medicine

Background:

  • Urinary urgency and urge incontinence significantly impact quality of life.
  • Bladder retraining is a conservative treatment option for these conditions.
  • Telephone-based programs offer a scalable approach to delivering bladder retraining.

Purpose of the Study:

  • To evaluate patient compliance with a telephone-based bladder retraining program.
  • To identify factors associated with successful completion of the program.

Main Methods:

  • Retrospective study of 123 women with urinary urgency or urge incontinence.
  • Intervention: Bladder retraining via telephone feedback and facsimile diary submission.
  • Outcome measures: Program initiation and completion rates, defined by follow-up sessions and retraining duration.

Related Experiment Videos

Main Results:

  • Overall compliance rate was 45% (55/123 women completed the program).
  • 71% (87/123) initiated the retraining program.
  • Concurrent pharmacologic therapy use was significantly higher in women who completed retraining (87%) compared to those who did not (53%; P <.001).

Conclusions:

  • A significant proportion (55%) of women did not complete the recommended telephone-based bladder retraining.
  • Real-world compliance and success rates for bladder retraining may be lower than those reported in clinical trials.
  • Pharmacologic therapy may play a crucial role in the success of bladder retraining programs.