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

http://dx.doi.org/10.1136/ebn.2.3.85

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    Wyman JF, Fantl JA, McClish Dk, et al and the The Continence Program For Women Research Group.Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Am J Obstet Gynecol 1998Oct; 179:999–1007.OpenUrlCrossRefPubMedWeb of Science

    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 …

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    Footnotes

    • Sources of funding: National Institute of Aging; National Institutes of Health.

    • For correspondence: Dr J F Wyman, School of Nursing, University of Minnesota, 6–101 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Fax +1 612 626 2359.