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Related Experiment Videos

Influence of behavior modification on overactive bladder.

Kathryn L Burgio1

  • 1Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama, USA. kburgio@aging.uab.edu

Urology
|December 21, 2002
PubMed
Summary
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Behavioral interventions like bladder training effectively reduce urge incontinence in older women. Combining these with drug therapies may offer better outcomes, as research explores their additive effects.

Area of Science:

  • Urology
  • Gerontology
  • Behavioral Medicine

Background:

  • Behavioral interventions have a long history in treating urge incontinence and overactive bladder symptoms.
  • Early methods like bladder drill aimed to normalize urination frequency; bladder training is a more gradual outpatient approach.
  • Multicomponent behavioral training combines pelvic floor muscle training and exercise to alter bladder and pelvic floor muscle physiology.

Purpose of the Study:

  • To review the effectiveness of behavioral interventions for urge incontinence.
  • To explore the potential for combining behavioral therapies with drug treatments for enhanced outcomes.
  • To highlight the need for further research into the mechanisms of action for behavioral therapies.

Main Methods:

  • Review of established behavioral interventions including bladder drill, bladder training, and multicomponent behavioral training.

Related Experiment Videos

  • Discussion of techniques used in behavioral training, such as pelvic floor muscle training and urge suppression strategies.
  • Analysis of existing evidence on the efficacy of behavioral therapies and their comparison with drug therapies.

    • Main Results:

    • Bladder training has shown significant incontinence reduction in older women.
    • Behavioral interventions, while effective, rarely cure incontinence alone.
    • Evidence suggests behavioral and drug therapies may have different mechanisms, potentially leading to additive effects when combined.

    Conclusions:

    • Behavioral interventions are valuable conservative treatments for urge incontinence.
    • Combining behavioral and drug therapies warrants further investigation for potentially superior outcomes.
    • Understanding the mechanisms of behavioral treatments is crucial for optimizing incontinence management strategies.