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Contribution of behavioral and cognitive therapy to managing overactive bladder syndrome in women in the absence of contributive urodynamic diagnosis

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Abstract

Overactive bladder (OAB) is a syndrome characterized by symptoms of urgency with or without incontinence, frequency, and nocturia. Pathophysiology of OAB is incompletely characterized. Therefore, there is great variability surrounding OAB evaluation. In some cases, urodynamics is normal and the challenge is to propose the least invasive treatment. Behavioral therapies have been used for decades as they are conservative, inexpensive, and do not induce side effect. Our purpose was to describe which usual techniques of pelvic floor rehabilitation in association with behavioral and cognitive therapy could be proposed to manage OAB syndrome in the absence of urodynamic diagnosis and when no targeting drug treatment could be proposed.

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Abbreviations

BCT:

Behavioral and cognitive therapy

OAB:

Overactive bladder

PFMT:

Pelvic floor muscle training

UDS:

Urodynamic study

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Acknowledgments

We thank Professor Paul Riss from the Medical University of Vienna who kindly gave us advice and encouragement in the preparation of this paper.

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Correspondence to Françoise A. Valentini.

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Marti, B.G., Valentini, F.A. & Robain, G. Contribution of behavioral and cognitive therapy to managing overactive bladder syndrome in women in the absence of contributive urodynamic diagnosis. Int Urogynecol J 26, 169–173 (2015). https://doi.org/10.1007/s00192-014-2526-3

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  • DOI: https://doi.org/10.1007/s00192-014-2526-3

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