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Evid Based Nurs 2:85 doi:10.1136/ebn.2.3.85
  • Treatment

Bladder training plus pelvic muscle exercises reduced urinary incontinence in women immediately after treatment


 
 Question What is the comparative effectiveness of different behavioural interventions in reducing urinary incontinence in women?

Design

Randomised trial with 3 months follow up.

Setting

Gynaecological practices at 2 academic health science centres in southeastern USA.

Patients

204 women ≥45 years of age (mean age 61 y, 92% white) who were living in the community, ambulatory, mentally competent, and able to toilet independently; had urine loss ≥once/week; and had urodynamic evidence of genuine stress incontinence, detrusor instability, or both. Exclusion criteria were reversible causes of urinary incontinence, uncontrolled metabolic conditions, residual urine volume after voiding >100 ml, urinary tract infection, genitourinary fistula or indwelling catheter, or inability to contract a pelvic muscle. Follow up was 95%.

Intervention

Women …

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