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Inpatient bladder retraining: is it beneficial on its own?

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Abstract

Introduction and hypothesis

Urinary incontinence is a common problem with serious effect on the quality of life. Bladder training aims to increase the interval between voids, either by a mandatory or self-adjustable schedule, so that incontinence is avoided. This study aimed to assess the effectiveness of inpatient bladder retraining.

Methods

A retrospective case-note analysis was conducted over a period of 24 months. Outcome measures were decrease in incontinence episode frequency (IEF) and nocturia and increase in interval between voids. Subjective improvement was assessed on a four-point scale.

Results

The study revealed statistically significant decrease in IEF and nocturia and increase in the interval between voids. Twenty-three percent was cured of their symptoms, 36% reported improvement, 27% did not find any change, whereas 14% reported that they were worse off their after bladder retraining.

Conclusion

The study confirms the usefulness of inpatient bladder retraining as a treatment option, especially in people refractory to outpatient management.

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Abbreviations

SUI:

Stress urinary incontinence

OAB:

Overactive bladder

IEF:

Incontinence episode frequency

DO:

Detrusor overactivity

PPI:

Patients’ perception of improvement

MUCP:

Mean urethral closure pressure

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Acknowledgements

The authors would like to thank Urogynaecology Sisters Kim Powles and Kalbinder Perkins for their help with the weekly data collection.

Conflicts of interest

None.

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Authors and Affiliations

  1. Birmingham Women’s Healthcare NHS Trust, Metchley Park Road, Birmingham, B15 2TG, UK

    Amitabha Majumdar, Ismail Hassan, Sepeedeh Saleh & Philip Toozs-Hobson

Authors
  1. Amitabha Majumdar
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  2. Ismail Hassan
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  3. Sepeedeh Saleh
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  4. Philip Toozs-Hobson
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Correspondence to Amitabha Majumdar.

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Majumdar, A., Hassan, I., Saleh, S. et al. Inpatient bladder retraining: is it beneficial on its own?. Int Urogynecol J 21, 657–663 (2010). https://doi.org/10.1007/s00192-009-1085-5

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  • DOI: https://doi.org/10.1007/s00192-009-1085-5

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