Behavioral therapies for overactive bladder: making sense of the evidence

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
Jill L Milne

Abstract

Overactive bladder (OAB) is a symptom-based syndrome characterized by the presence of urgency, which is defined as a sudden and compelling desire to void that cannot be postponed. OAB may significantly impact of quality of life. Numerous treatment options exist for OAB, including behavioral therapies such as pelvic floor muscle rehabilitation, bladder training, and dietary modification, as well as traditional therapies such as pharmacological therapy and neuromodulation. Behavioral therapies are considered the mainstay of treatment for urinary incontinence in general. However the efficacy of these noninvasive strategies for OAB treatment has not been well addressed in the literature. This article presents an overview of current evidence with attention to the clinical relevance of findings related to lifestyle modification, bladder training, and pelvic floor muscle training. Initial evidence suggests that obesity, smoking, and consumption of carbonated drinks are risk factors for OAB but there is less support for the contributory role of caffeine or the impact of caffeine reduction. The evidence supporting bladder training and pelvic floor muscle training is more consistent and a trend towards combining these therapies to treat ...Continue Reading

References

Dec 1, 1975·Urology·C GodecG F Ayala
Dec 1, 1990·British Journal of Urology·S M Creighton, S L Stanton
Jan 1, 1996·American Journal of Obstetrics and Gynecology·I E NygaardA T Rhomberg
Dec 24, 1998·JAMA : the Journal of the American Medical Association·K L BurgioD Candib
Jun 23, 2000·Obstetrics and Gynecology·L A AryaN D Jackson
Feb 22, 2002·Neurourology and Urodynamics·Paul AbramsUNKNOWN Standardisation Sub-committee of the International Continence Society
Apr 30, 2002·British Journal of Nursing : BJN·Charmaine M BryantGreg Fairbrother
Jul 9, 2002·Obstetrics and Gynecology·Leslee L SubakKrikor Soghikian
Nov 13, 2002·JAMA : the Journal of the American Medical Association·Kathryn L BurgioL Keith Lloyd
Nov 20, 2002·American Journal of Obstetrics and Gynecology·M P FitzgeraldL Brubaker
Feb 13, 2003·Neurourology and Urodynamics·Erik SchickJocelyne Tessier
Mar 5, 2003·BJU International·A MattiassonUNKNOWN Tolterodine Scandinavian Study Group
Apr 19, 2003·World Journal of Urology·Ahmed Shafik, Ismail A Shafik
May 24, 2003·International Journal of Behavioral Medicine·Yvette D MillerPauline Chiarelli
Jun 18, 2003·World Journal of Urology·W F StewartA J Wein
Jun 26, 2003·BJU International·H M DallossoUNKNOWN Leicestershire MRC Incontinence Study Group
Sep 29, 2004·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Karin S CoyneTimothy L Hunt
Oct 16, 2004·Public Health Nutrition·Helen M DallossoUNKNOWN Leicestershire MRC Incontinence Study Group
Feb 12, 2005·BJU International·Linda CardozoEboo Versi
Jun 11, 2005·The Journal of Urology·L SwithinbankP Abrams
Jun 11, 2005·The Journal of Urology·Leslee L SubakJeanette S Brown
Sep 17, 2005·Neurourology and Urodynamics·Erin T BirdK Scott Coffield
Feb 7, 2006·The Journal of Urology·Alan J Wein, Raymond R Rackley

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Citations

Feb 10, 2010·International Urogynecology Journal·Kathryn L BurgioUNKNOWN Urinary Incontinence Treatment Network
Mar 17, 2010·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Jean F WymanKarin S Coyne
Mar 15, 2012·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Elizabeth VictorJerry G Blaivas
Apr 13, 2011·Qualitative Health Research·Elizabeth M BotelhoSharon L Tennstedt
Dec 4, 2012·International Journal of General Medicine·Jean-Jacques Wyndaele
Feb 25, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L GaspardC Detrembleur
Jul 24, 2012·Current Urology Reports·Philip E V Van Kerrebroeck
Aug 20, 2014·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Sandi Tenfelde, Linda Witek Janusek
Mar 3, 2010·Critical Care Nursing Clinics of North America·Tamara M Robertson, Amy S Hamlin
Mar 1, 2009·International Journal of Older People Nursing·Jo BoothYuli Zang
Nov 16, 2010·Journal of Clinical Nursing·Emily A ElstadSharon L Tennstedt
May 1, 2010·Neurourology and Urodynamics·Victor W NittiIan W Mills
Jul 17, 2012·The American Journal of Pathology·Shu ZhangCong-Yi Wang
Mar 11, 2017·The American Journal of Nursing·Mary H Palmer, Marcella G Willis-Gray
Oct 10, 2020·Lower Urinary Tract Symptoms·Kayoko ItoTetsuro Matsumoto
Apr 10, 2019·Female Pelvic Medicine & Reconstructive Surgery·Sandi TenfeldeLinda Janusek
Feb 21, 2021·International Urogynecology Journal·Becca ReischKatie Overton

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