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
References
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5–26. doi:10.1007/s00192-009-0976-9
E. Ann Gormley DJ, Lightner KL, Burgio TC, Chai J, Quentin Clemens et al (2012) Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline
Frewen WK (1980) The management of urgency and frequency of micturition. Br J Urol 52:367–369
Fantl JA, Wyman JF, Mc Lish DK et al (1991) Efficacy of bladder training in older women with urinary incontinence. JAMA 265:609–613
Burgio KL (1994) Behavioural therapy: Practical approach to urinary incontinence. Contemp Urol 6(24):29–36, 41
Burgio KL Locher JL, Goode PS, Hardin JM, Mc Dowell BJ, Dombrowski M, Candib T (1998) Behavioral vs. drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 280:1995–2000
Burgio KL (2002) Influence of behavior modification on overactive bladder. Urology 60(5S1):72–76
Burgio KL, Goode PS, Locher JL, Umlauf MG, Roth DL, Richter HE, Varner RE, Lloyd LK (2002) Behavioral training with and without biofeedback in the treatment of urge incontinence in older women. JAMA 288:2293–2299
Burgio KL (2009) Behavioral treatment of urinary incontinence, voiding dysfunction and overactive bladder. Obstet Gynecol Clin North Am 36:475–491
Borello-France D, Burgio KL, Goode PS, Markland AD, Kenton K, Balasubramanymam A, Stoddard AM (2010) Adherence to behavioral interventions for urge incontinence when combined with drug therapy: adherence rate, barriers, and predictors. Phys Ther 90:1493–1505
Burgio KL (2013) Update on behavioral and physical therapies for incontinence and overactive bladder: the role of pelvic floor muscle training. Curr Urol Rep 14:457–464
Payne CK (2000) Behavioral therapy for overactive bladder. Urology 55(5S1):3–6
Arnold J, Mc Leod N, Thani-Gasalam R, Rashid P (2012) Overactive bladder syndrome. Management and treatment options. Aust Fam Physician 41:878–883
Natalin R, Lorenzetti F, Dambros M (2013) Management of OAB in those over age 65. Curr Urol Rep 14:379–385
Milne JL (2004) Behavioral therapies at the primary care level: the current state of knowledge. J Wound Ostomy Continence Nurs 31:367–376
Milne JL (2008) Behavioral therapies for overactive bladder: making sense of the evidence. J Wound Ostomy Continence Nurs 35:93–101
Di Benedetto P (2004) Female urinary incontinence rehabilitation. Minerva Ginecol 56:353–369
Hersh L, Salzman B (2013) Clinical management of urinary incontinence in women. Am Fam Physician 87:634–640
Abrams P, Cardozo L, Khoury S, Wein A. Bladder charts and diaries. In Incontinence 5th edition 2013. Editions 21, Paris (France) pp 1952-5
Members of the Consensus Development Panel (1989) NIH Consensus Conference on Urinary Incontinence in Adults. JAMA 261:2685–2696
Fantl JA, Newman DK, Colling J et al (1996) Urinary incontinence in adults: acute and chronic management. Clinical practice, No 2, 1996 Update. Rockville, MD: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, March 1996. AHCPR Publication No. 96-0682
Griffiths D, Derbyshire S, Stenger A, Resnick N (2005) Brain control of normal and overactive bladder. J Urol 174:1862–1867
Galvao–de Almeida A, Araujo Filho GM, Berberian Ade A et al (2013) The impact of Cognitive Behavioral Therapy on the treatment of phobic disorders measured by functional neuro-imaging techniques: a systematic review. Rev Bras Psyquiatr 35:279–283. doi:10.1590/1516-4446-2012-0922
Marti B, Valentini F, Robain G. Contribution of behavioral and cognitive therapy to managing functional urinary disorders in woman. Abstract #214 ICS Meeting October 20-24th 2014
Amarenco G, Kerdraon J, Perrigot M (1992) Echelle d’évaluation du handicap pelvien : mesure du handicap urinaire (MHU) in Rééducation vésico-sphinctérienne et ano-rectale. Pelissier J, Costa P, Lopez S, Mares P, Masson Ed, 498-504
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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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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