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Article: Behavioral Therapy for Incontinence Most Effective.(Brief Article)
- Article from:
- Family Practice News
- Article date:
- March 15, 2000
- Author:
CopyrightCOPYRIGHT 2000 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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SAN FRANCISCO -- Intensive behavioral therapy worked better than medication or placebo to improve urinary incontinence in a study of 197 older women, Dr. Leslee Subak said at an ob.gyn. update sponsored by the University of California, San Francisco.
Patients with urge or mixed urge incontinence, aged 55-92, were randomized to treatment consisting of four weekly sessions of biofeedback-assisted training in pelvic muscle exercises, oxybutynin 2.5-15 mg/day titrated for effectiveness, or placebo. In the placebo group, patients kept urinary diaries and had four weekly office visits.
The results surprised urogynecologists, said Dr. Subak of the university's ...