Low Capacity Bladder: Dugs and/or Toilet Training

作者：Wiedemann A^*; Heppner H J

来源：AKTUELLE UROLOGIE, 2015, 46(5): 378-381.

DOI：10.1055/s-0035-1550037

• urinary incontinence
• overactive bladder
• toilet training
• drug therapy
• behavioral intervention

Background: Behavioral interventions are part of the standard therapy for the overactive bladder syndrome although its impact still is unclear. Methods: A systematic review according to the key words, overactive bladder" and "behavioral therapy" was undertaken. Original studies dealing with adults and with an English abstract were taken into consideration. Results: Due to these requirements, only 6 studies were found. They use behavioral interventions as single therapy or compare a behavioral intervention with a standard drug therapy. On the one hand this was a direct comparison to a therapy with antimuscarinics, on the other hand drug therapy was augmented by behavioral -interventions if the primary therapy failed. Inclusion criteria, patient characteristics, methods of behavioral intervention, the kind of media used and the results were inconsistent. As a result behavioral interventions are considered to be -effective in controlling symptoms of an overactive bladder; in some studies an additive effect to drug therapy is seen if behavioral interventions are performed as supplementary measure; other studies could not confirm such an effect. Conclusion: Although experimental studies about micturition control in the CNS make a -positive effect of behavioral interventions in overactive bladder more than likely, the literature reports on this topic remain inhomogeneous.

• 出版日期2015-9