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Current perspectives on management of urgency using bladder and behavioral training
1University of Alabama at Birmingham, USA.
Journal of the American Academy of Nurse Practitioners
|November 17, 2004
Summary
Behavioral interventions for overactive bladder (OAB) can improve bladder control. Combining behavioral therapies with medication may offer superior results compared to either treatment alone.
Area of Science:
- Urology
- Behavioral Medicine
Background:
- Overactive bladder (OAB) is a condition characterized by urinary urgency, frequency, and nocturia.
- Current treatments include pharmacotherapy and behavioral interventions.
Purpose of the Study:
- To review behavioral interventions for overactive bladder (OAB).
- To compare the efficacy of behavioral therapies with drug therapy for OAB management.
Main Methods:
- Behavioral interventions discussed include bladder training and behavioral training.
- Behavioral training encompasses pelvic floor muscle training and urge suppression strategies.
- Methods like biofeedback, verbal feedback, and electrical stimulation are considered.
Main Results:
- Behavioral methods demonstrate comparable effectiveness to drug therapy in reducing incontinence episodes.
- Combined behavioral and drug therapy may yield better outcomes than monotherapy.
- Further research is required to fully understand the impact of behavioral modification on OAB symptoms.
Conclusions:
- Behavioral interventions are a viable treatment option for overactive bladder (OAB).
- Combination therapy holds promise for enhanced OAB symptom management.
- Continued investigation into behavioral modification's role in OAB is warranted.