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Behavioral intervention for community-dwelling individuals with urinary incontinence
1State University of New York and St. John's Episcopal Hospital, Smithtown, USA.
Urology
|March 12, 1998
Summary
Behavioral modification, including pelvic floor rehabilitation and bladder training, can significantly reduce urinary incontinence (UI) symptoms in community-dwelling individuals. While complete cures are less common, symptom improvement enhances quality of life.
Area of Science:
- Urology
- Behavioral Medicine
- Pelvic Health
Background:
- Urinary incontinence (UI) is a prevalent condition affecting community-dwelling individuals.
- Behavioral modification offers a non-invasive approach to managing UI.
Purpose of the Study:
- To review the efficacy of behavioral modification techniques for treating urinary incontinence (UI).
- To examine pelvic floor rehabilitation and bladder training as primary interventions for UI.
Main Methods:
- Review of clinical trials investigating behavioral modification for UI.
- Analysis of reported cure rates and symptom reduction in community-dwelling women with UI.
- Exploration of potential mechanisms underlying treatment effectiveness.
Main Results:
- Pelvic muscle rehabilitation achieved complete resolution in ~20% and 50-75% reduction in most patients.
- Bladder training resulted in complete resolution in <15% and 50-75% symptom reduction in >50% of subjects.
- Potential mechanisms include altered muscle contractility and cortical modulation; technique implementation may be key.
Conclusions:
- Behavioral interventions are integral to the management of urinary incontinence.
- Most behavioral therapies aim to reduce UI symptoms rather than achieve a complete cure.
- Symptom reduction through behavioral interventions can lead to improved quality of life.