Isolated bladder training or in combination with other therapies to improve overactive bladder symptoms: a systematic review and meta-analysis of randomized controlled trials.
Braz J Phys Ther
; 28(4): 101102, 2024.
Article
em En
| MEDLINE
| ID: mdl-39106788
ABSTRACT
BACKGROUND:
Bladder training (BT), the maintenance of a scheduled voiding regime at gradually adjusted intervals, is a common treatment for overactive bladder (OAB).OBJECTIVES:
To assess the effects of isolated BT and/or in combination with other therapies on OAB symptoms.METHODS:
A systematic review of eight databases was conducted. After screening titles and abstracts, full texts were retrieved. Cochrane RoB 2 and the GRADE approach were used.RESULTS:
Fourteen RCTs were included they studied isolated BT (n = 11), BT plus drug treatment (DT; n = 5), BT plus intravaginal electrical stimulation (IVES; n = 2), BT plus biofeedback and IVES (n = 1), BT plus pelvic floor muscle training and behavioral therapy (n = 2), BT plus percutaneous tibial nerve stimulation, and BT plus transcutaneous tibial nerve stimulation (n = 1). In a meta-analysis of short-term follow-up data, BT plus IVES resulted in greater improvement in nocturia (mean difference [MD] 0.89, 95% CI 0.5, 1.20), urinary incontinence (UI; MD 1.93, 95% CI 1.32, 2.55), and quality of life (QoL; MD 4.87, 95% CI 2.24, 7.50) than isolated BT, while DT and BT improved UI (MD 0.58, 95% CI 0.23, 0.92) more than isolated BT.CONCLUSION:
In the short term, BT plus IVES improves the OAB symptoms of nocturia and UI while improving QoL. The limited number of RCTs and heterogeneity among them provide a low level of evidence, making the effect of BT on OAB inconclusive, which suggests that new RCTs should be performed.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bexiga Urinária Hiperativa
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article