The effects of drug and behavior therapy on urgency and voiding frequency

Kathryn L. Burgio, Stephen R. Kraus, Diane Borello-France, Toby C. Chai, Kimberly Kenton, Patricia S. Goode, Yan Xu, John W. Kusek

Producción científica: Articlerevisión exhaustiva

18 Citas (Scopus)

Resumen

Introduction and hypothesis: The objective of this study was to examine the effects of drug therapy alone and combined with behavioral therapy on urgency and 24-voiding frequency in women with urge-predominant incontinence and to identify predictors of change. Methods: A planned analysis of data from a multi-site, randomized, controlled trial (N=307). Bladder diaries were used to document voids, incontinence, and urgency severity. Results: Urgency scores decreased significantly within both treatment groups, but changes did not differ between groups (p=0.30). Improvement in urgency was associated with greater baseline urgency (p<0.0001) and black ethnicity (p=0.03). Voiding frequency increased with drug alone and decreased slightly with combined therapy (p=0.009), and improvement was associated with combined treatment (p<0.0001), higher baseline frequency (p<0.0001), and lower baseline incontinence episode frequency (p=0.001). Conclusions: Although combined drug and behavioral therapy does not appear to improve urgency more than drug alone, it resulted in better outcomes on voiding frequency.

Idioma originalEnglish (US)
Páginas (desde-hasta)711-719
Número de páginas9
PublicaciónInternational Urogynecology Journal
Volumen21
N.º6
DOI
EstadoPublished - jun 2010

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

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