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Strategies to Improve Bladder Control: A Preliminary Case Study
Gesualdo M Zucco1,2, Elena Andretta3, Thomas Hummel4
1Department of Philosophy, Sociology, Education and Applied Psychology, University of Padova, 35131 Padova, Italy.
Healthcare (Basel, Switzerland)
|September 28, 2024
Summary
Motor imagery significantly reduced post-voiding residual urine time in men with lower urinary tract symptoms (LUTS). This technique, involving visualizing bladder emptying, offers a promising new approach for managing LUTS.
Area of Science:
- Urology
- Neuroscience
- Behavioral Science
Background:
- Lower urinary tract symptoms (LUTS) significantly impair quality of life in men with bladder outlet obstruction.
- Incomplete bladder emptying is a bothersome LUTS component, contributing to urgency, nocturia, and frequency.
- Current self-management strategies for LUTS lack consistent evidence of effectiveness.
Observation:
- A novel approach utilizing motor imagery and olfactory cues was investigated to improve bladder emptying.
- A 68-year-old male patient practiced a motor imagery technique for 90 days, visualizing detrusor contraction and urine expulsion.
- Olfactory stimuli (coffee, lavender) were used as micturition triggers for 10 days.
Findings:
- Motor imagery reduced the time to the second micturition significantly (mean 4.75 min) compared to baseline (mean 79.5 min).
- Olfactory cues did not show a significant difference in reducing voiding time (mean 70.6-71.1 min) compared to baseline.
- The study suggests motor imagery is effective in promoting bladder residual urine voiding.
Implications:
- Motor imagery represents a potentially valuable, clinically applicable protocol for managing LUTS related to incomplete emptying.
- Further research into olfactory bladder control is warranted as a promising future direction.
- This study highlights the potential of mental techniques in urological symptom management.
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