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  • Behavioural training plus biofeedback or verbal feedback did not differ from self administered behavioural training in urge incontinence

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Behavioural training plus biofeedback or verbal feedback did not differ from self administered behavioural training in urge incontinence

https://doi.org/10.1136/ebn.6.3.87

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    Burgio KL, Goode PS, Locher JL, et al.Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial.JAMA2002;288:2293–9OpenUrlCrossRefPubMedWeb of Science

    QUESTION: In community dwelling older women with urge incontinence, is behavioural training (BT) plus biofeedback or verbal feedback more effective than self administered BT for reducing the frequency of urge incontinence?

    Design

    Randomised (unclear allocation concealment), unblinded, controlled trial with 10 weeks of follow up.

    Setting

    University outpatient continence clinic in the US.

    Patients

    222 ambulatory, mentally competent, community dwelling women 55–92 years of age (mean age 65 y) who had persistent (for ≥3 mo) urge incontinence or mixed incontinence with urge as the predominant pattern that occurred ≥2 times per week (on average) with urodynamic evidence of bladder dysfunction. Exclusion criteria included continual leakage and post-void residual urine volume >150 ml. Follow up was 88%.

    Intervention

    Patients were allocated to BT plus biofeedback …

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    Footnotes

    • Source of funding: National Institute on Aging.

    • For correspondence: Dr K L Burgio, Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA. kburgio{at}aging.uab.edu

    • A modified version of this abstract appears in ACP Journal Club.