Pelvic floor exercises are more effective in subjective and objective outcomes with biofeedback or verbal feedback .
Weight loss with diet and exercise , caffeine reduction , 25 - 50 % reduction in fluid intake , and pelvic floor muscle exercises with verbal instruction and or biofeedback were all efficacious .
Botulinum toxin A improves urge incontinence episodes , urgency , frequency , quality of life , nocturia , and urodynamic testing parameters .
Acupuncture  improves quality of life and urodynamic testing parameters .
Extracorporeal magnetic stimulation improves urodynamic parameters .
Mirabegron improves daily incontinence episodes , nocturia , number of daily voids , and urine volume per void , whereas solabegron improves daily incontinence episodes .
Short-term posterior tibial nerve stimulation is more efficacious than pelvic floor muscle training exercises and behavioral therapy for improving : urgency , urinary incontinence episodes , daily voids , volume per void , and overall quality of life .
Sacral neuromodulation is more efficacious than antimuscarinic treatment for subjective improvement of overactive bladder and quality of life .
Transvaginal electrical stimulation demonstrates subjective improvement in overactive bladder symptoms and urodynamic parameters .
Multiple therapies , including physical therapy , behavioral therapy , botulinum toxin A , acupuncture , magnetic stimulation , mirabegron , posterior tibial nerve stimulation , sacral neuromodulation , and transvaginal electrical stimulation , are efficacious in the treatment of overactive bladder
The purpose of the study was to determine the efficacy and safety of nonantimuscarinic treatments for overactive bladder .
Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder.
OBJECTIVES To compare the efficacy of pelvic floor muscle training ( PFMT ) , biofeedback-assisted PFMT ( BAPFMT ) , and electrical stimulation ( ES ) in the management of overactive bladder ( OAB ) .  METHODS The interventions for the 12-week treatment period , conducted by the physiotherapist who was unaware of the progress and outcome , included ( a ) a PFMT program tailored to the subject 's PERFECT ( power , endurance , repetitions , and fast [ 1-second ] contractions , with every contraction timed ) scheme , used for training at home ; ( b ) an electromyography BAPFMT program and home program tailored to the subject 's PERFECT scheme ; and ( c ) an ES program using biphasic symmetric probe current with 10-Hz frequency , 400-micros pulse width , 10/5 duty cycle , and varying intensity . Identical preintervention and postintervention assessment included King 's Health Question naire , as well as outcomes of urge incontinence and other urinary symptoms . RESULTS Of the 103 women who completed this study , 34 were in the PFMT group , 34 in the BAPFMT group , and 35 in the ES group . The changes in the three parameters of King 's Health Question naire revealed statistically significant differences , except for the total score , between ES and BAPFMT ( domain 7 , P = 0.003 ; domain 9 , P = 0.029 ; and total score , P = 0.952 ) . These same parameters were significantly different between ES and PFMT ( domain 7 , P = 0.007 ; domain 9 , P = 0.001 ; and total score P = 0.004 ) . The change in total score was significantly different between BAPFMT and PFMT ( P = 0.003 ) . The subjective improvement/cure rate of OAB was 51.4 % for ES , 50.0 % for BAPFMT , and 38.2 % for PFMT ( P = 0.567 ) . CONCLUSIONS ES had the greatest subjective reduction rate of OAB and was the most effective of the three treatments . BAPFMT was more effective than PFMT
Pelvic floor exercises are more effective in subjective and objective outcomes with biofeedback or verbal feedback .
Weight loss with diet and exercise , caffeine reduction , 25 - 50 % reduction in fluid intake , and pelvic floor muscle exercises with verbal instruction and or biofeedback were all efficacious .
Botulinum toxin A improves urge incontinence episodes , urgency , frequency , quality of life , nocturia , and urodynamic testing parameters .
Acupuncture  improves quality of life and urodynamic testing parameters .
Extracorporeal magnetic stimulation improves urodynamic parameters .
Mirabegron improves daily incontinence episodes , nocturia , number of daily voids , and urine volume per void , whereas solabegron improves daily incontinence episodes .
Short-term posterior tibial nerve stimulation is more efficacious than pelvic floor muscle training exercises and behavioral therapy for improving : urgency , urinary incontinence episodes , daily voids , volume per void , and overall quality of life .
Sacral neuromodulation is more efficacious than antimuscarinic treatment for subjective improvement of overactive bladder and quality of life .
Transvaginal electrical stimulation demonstrates subjective improvement in overactive bladder symptoms and urodynamic parameters .
Multiple therapies , including physical therapy , behavioral therapy , botulinum toxin A , acupuncture , magnetic stimulation , mirabegron , posterior tibial nerve stimulation , sacral neuromodulation , and transvaginal electrical stimulation , are efficacious in the treatment of overactive bladder
The purpose of the study was to determine the efficacy and safety of nonantimuscarinic treatments for overactive bladder .