Rehabilitation versus drug therapy for urge urinary incontinence: long-term outcomes.

Kafri R, Shames J, Raz M, Katz-Leurer M

The objective of this study was to compare the residual effect of a 3-month rehabilitation treatment and a standard drug treatment for urge urinary incontinence 21 months post intervention. Forty-four women who were diagnosed with overactive bladder were divided into 2 treatment groups over 3 months: 24 women received rehabilitation and 20 women were treated with medication with oxybutynin ER (MED). Outcomes measures included frequency of urination, quality of life, and number of side effects, which were measured upon entry into the study, completion of the intervention, and at follow-up 3 and 21 months after completion of treatment. In the long-term, the women received rehabilitation maintained and even improved the achievements of the intervention period while the women were treated with medication deteriorated to baseline values in urinary frequency.

Women with urge urinary incontinence maintained improvements in the long term following rhabilitation compared with women who received oxybutynin ER.

Internationl Urogynecology Journal of Pelvic Floor Dysfunction, 2008, 19(1), 47-52

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