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Related Experiment Videos

Bladder training for urinary incontinence in adults.

S A Wallace1, B Roe, K Williams

  • 1Health Services Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, Scotland, UK, AB25 2ZD.

The Cochrane Database of Systematic Reviews
|February 20, 2004
PubMed
Summary

Bladder training may help treat urinary incontinence, but evidence is limited due to small, variable-quality trials. More research is needed to confirm its effectiveness and use as a supplementary therapy.

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Area of Science:

  • Urology
  • Gynecology
  • Geriatrics

Background:

  • Urinary incontinence is a prevalent and distressing condition affecting many individuals.
  • Bladder training, a behavioral therapy, is commonly employed to manage urinary incontinence by increasing voiding intervals.

Purpose of the Study:

  • To systematically evaluate the efficacy of bladder training in treating urinary incontinence through a review of randomized controlled trials.

Main Methods:

  • A comprehensive search of the Cochrane Incontinence Group trials register and relevant literature was conducted.
  • Eligible trials included randomized or quasi-randomized studies of bladder training for any type of urinary incontinence.
  • Data on cure rates, improvement, incontinence episodes, micturition frequency, and quality of life were extracted and analyzed.

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Main Results:

  • Limited data from five trials with 467 female participants were included due to heterogeneity.
  • Bladder training showed a statistically significant improvement in cure rates compared to oxybutynin and imipramine plus flavoxate, with fewer adverse events.
  • Combined therapy (bladder training with pelvic floor muscle training and biofeedback) showed short-term improvements in perceived improvement and quality of life compared to therapy alone.

Conclusions:

  • The current evidence suggests bladder training may be beneficial for urinary incontinence, but findings are tentative due to trial limitations.
  • Further high-quality, large-scale research is necessary to definitively establish the effectiveness of bladder training.
  • Insufficient evidence exists to determine the utility of bladder training as an adjunct to other therapies.