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Related Experiment Videos

Behavioral treatment options for urinary incontinence.

Kathryn L Burgio1

  • 1Geriatric Research, Education, and Clinical Center, Birmingham Veterans Administration Medical Center, Alabama 35233, USA. kburgio@aging.uab.edu

Gastroenterology
|February 24, 2004
PubMed
Summary

Behavioral treatments significantly reduce incontinence frequency for most patients. While effective and well-tolerated, further research is needed to enhance outcomes and improve accessibility in clinical practice.

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Area of Science:

  • Urology
  • Behavioral Medicine

Background:

  • Behavioral treatments modify voiding habits to improve bladder control.
  • These therapies are effective for stress, urge, and mixed incontinence in outpatients.

Purpose of the Study:

  • To review the effectiveness of behavioral treatments for urinary incontinence.
  • To identify areas for future research to enhance treatment efficacy and delivery.

Main Methods:

  • Review of existing literature on behavioral interventions for urinary incontinence.
  • Analysis of treatment outcomes, advantages, and limitations.

Main Results:

  • Average reduction in incontinence frequency ranges from 57% to 86%.
  • Treatments offer advantages like no side-effects, patient comfort, and high satisfaction.

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  • Effectiveness is more modest and challenging in long-term care settings.

    • Conclusions:

    • Behavioral treatments are effective but rarely lead to complete dryness, necessitating further research.
    • Future research should focus on enhancing current therapies, exploring combined treatments, and understanding mechanisms of change.
    • Improving the integration and accessibility of behavioral interventions in clinical practice is crucial, potentially through novel delivery methods like group interventions.