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 .
Effect of intravaginal electrical stimulation on pelvic floor muscle strength
The aim of this study was to evaluate the effect of intravaginal electrical stimulation ( IES ) on pelvic floor muscle ( PFM ) strength in patients with mixed urinary incontinence ( MUI ) . Between January 2001 and February 2002 , 40 MUI women ( mean age : 48 years ) were studied . Urge incontinence was the predominant symptom ; 92.5 % also presented mild stress urinary incontinence ( SUI ) . Selection criteria were clinical history and urodynamics . Pre-treatment urodynamic study showed no statistical differences between the groups . Ten percent of the women in each group had involuntary detrusor contractions . Patients were r and omly distributed , in a double-blind study , into two groups . Group G1 ( n=20 ) , effective IES , and group G2 ( n=20 ) , sham IES , with follow-up at 1 month . The following parameters were studied : ( 1 ) clinical question naire , ( 2 ) examiner ’s evaluation of perineal muscle strength , ( 3 ) objective evaluation of perineal muscle by perineometry , ( 4 ) vaginal weight test , and ( 5 ) urodynamic study . The IES protocol consisted of three 20-min sessions per week over a 7-week period using a Dualpex Uro 996 at 4 Hz . There was no statistically significant difference in the demographic data of both groups . The number of micturitions per 24 h after treatment was reduced significantly in both groups . Urge incontinence , present in all patients before treatment , was reduced to 15 % in G1 and 31.5 % in G2 post-treatment . The subjective evaluation of PFM strength demonstrated a significant improvement in G1 . Objective evaluation of PFM force by perineometer showed a significant improvement in maximum peak contraction post-treatment in both groups . In the vaginal weight test , there was a significant increase in average number of cone retentions post-treatment in both groups . With regard to satisfaction level , after treatment , 80 % of the patients in G1 and 65 % of the patients in G2 were satisfied . There was no statistically significant difference between the groups . There was a significant improvement in PFM strength from both effective and sham electrostimulation , question ing the effectiveness of electrostimulation as a monotherapy in treating MUI
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 .