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Experience with bladder training in 65 patients.

B G Ferrie, J S Smith, D Logan

    British Journal of Urology
    |October 1, 1984
    PubMed
    Summary
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    In-patient bladder training shows initial success for urinary incontinence in women, but long-term effectiveness decreases. Sensory urgency and introversion may predict better outcomes.

    Area of Science:

    • Urology
    • Behavioral Medicine

    Background:

    • Urinary incontinence, including frequency, urgency, and urge incontinence, significantly impacts women's quality of life.
    • In-patient bladder training is a common conservative management strategy.

    Purpose of the Study:

    • To evaluate the effectiveness and predictors of success for in-patient bladder training in women with urge incontinence.
    • To explore the relationship between personality traits and treatment response.

    Main Methods:

    • A cohort of 65 women with frequency, urgency, and urge incontinence underwent in-patient bladder training.
    • Patient response was assessed initially and at 6 months.
    • Eysenck Personality Inventory (EPI) testing was conducted on 43 patients to evaluate neuroticism and extraversion.

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    Main Results:

    • An initial response rate of 88% was observed, declining to 38% at 6 months.
    • Patients with sensory urgency demonstrated better outcomes compared to those with detrusor instability.
    • Higher neuroticism scores were associated with non-response and detrusor instability.
    • Introverted patients showed a better response to bladder training than extraverted patients.

    Conclusions:

    • In-patient bladder training offers initial benefits for urge incontinence but has limited long-term efficacy.
    • Sensory urgency may be a favorable indicator for bladder training success.
    • Personality factors, specifically lower neuroticism and introversion, may predict a better response to bladder training.