[Severe urge incontinence--therapeutic concept].

Area of Science:

• Urology
• Behavioral Medicine

Context:

• Severe urge incontinence affects a significant patient population, often with mixed or neurogenic causes.
• Psychological factors play a crucial role in urge incontinence, impacting treatment adherence and outcomes.

Purpose:

• To present a structured therapeutic program for severe urge incontinence.
• To evaluate the efficacy of a 14-day inpatient program combining hospitalization, bladder training, and medication therapy.

Summary:

• The study involved 39 patients with severe urge incontinence, including those with pure urge, mixed, and neurogenic bladder disorders.
• The inpatient program, lasting an average of 14 days, resulted in symptom-free status for 94% of patients and long-term cure in 76%.
• Factors contributing to treatment failure included severe neurogenic bladder disorders and urethral obstructive insufficiency. Psychological instability was noted in 51% of patients.

Impact:

• This integrated approach enhances patient compliance and facilitates successful follow-up therapy post-discharge.
• The findings support the effectiveness of a supervised, multi-modal treatment strategy for complex urge incontinence cases.