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Bladder training--3 years on.

D M Holmes, A R Stone, P R Bary

    British Journal of Urology
    |December 1, 1983
    PubMed
    Summary
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    Bladder training effectively treated urge syndrome initially in 85% of patients. However, long-term success depended on pre-treatment bladder stability, with some patients experiencing relapse.

    Area of Science:

    • Urology
    • Nephrology
    • Pelvic Health

    Background:

    • Urge syndrome, characterized by sudden, intense urges to urinate, significantly impacts quality of life.
    • In-patient bladder training is a recognized conservative treatment modality for urge syndrome.
    • Long-term outcomes and predictors of success for bladder training require further investigation.

    Purpose of the Study:

    • To evaluate the long-term efficacy of in-patient bladder training for urge syndrome.
    • To identify factors associated with sustained improvement versus relapse after treatment.

    Main Methods:

    • Retrospective review of 56 patients with urge syndrome treated with in-patient bladder training.
    • Assessment of treatment outcomes (cure/improvement/relapse) at 1-5 years post-treatment.

    Related Experiment Videos

  • Analysis of pre-treatment bladder characteristics (stability, compliance, detrusor activity) as predictors of outcome.

    • Main Results:

    • An initial cure or improvement rate of 85% was observed.
    • Long-term success was significantly higher in patients with objectively stable bladders prior to treatment.
    • Relapse occurred in 43% of patients with reduced detrusor compliance and idiopathic instability.
    • Patients with primary instability or degenerative conditions showed poor treatment response.

    Conclusions:

    • In-patient bladder training offers initial high success rates for urge syndrome.
    • Pre-treatment bladder stability is a key predictor of sustained positive outcomes.
    • Reduced detrusor compliance and specific patient profiles are associated with a higher risk of relapse.