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 .
The effects of multidimensional exercise treatment on community-dwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial.
BACKGROUND Urinary incontinence is one of the most prevalent health problems and a significant cause of disability and dependence in the elderly . Pelvic floor exercise is effective in reducing stress urinary incontinence , but few studies have investigated the effect of behavioral management on urge and mixed incontinence . OBJECTIVES To determine the effects of multidimensional exercise treatment on reducing urine leakage in elderly Japanese women with stress , urge , and mixed urinary incontinence . DESIGN R and omized controlled , follow-up trial . SETTING S Urban community-based study . PARTICIPANTS 127 community-dwelling women aged 70 and older with stress , urge , and mixed urinary incontinence were r and omly assigned to the intervention ( n=63 ) or the control group ( n=64 ) . METHODS Urine leakage and fitness data were collected at baseline , and after the intervention and follow-up . The intervention group received a multidimensional exercise treatment twice a week for 3-month . After treatment , the participants were followed for 7-month . RESULTS There were significant differences in changes of functional fitness and incontinence variables between the intervention and control groups . The intervention group showed urine leakage cure rates of 44.1 % after treatment and 39.3 % after follow-up ( χ(2)=21.96 , p<0.001 ) ; whereas , the control group showed no significant improvement . The multidimensional exercise treatment was significantly effective in decreasing all three types of urinary incontinence . However , the effects of the exercise treatment were greater on stress urinary incontinence than on urge or mixed urinary incontinence . At the 7-month follow-up , while cure rates of all three types of urinary incontinence were significantly maintained , a slight reversal was seen only in the urge and mixed urinary incontinence ( χ(2)=10.28 , p=0.008 ) . According to the logistic regression model , urine leakage volume ( adjusted odds ratio OR=0.69 , 95 % confidence interval CI=0.39 - 0.98 ) , compliance ( OR=1.03 , 95%CI=1.01 - 1.16 ) , and BMI reduction ( OR=0.67 , 95%CI=0.48 - 0.89 ) were significantly associated with the cure of urine leakage after intervention . The cure rate of urine leakage after the follow-up was significantly associated with compliance ( OR=1.13 , 95%CI=1.02 - 1.29 ) and BMI reduction ( OR=0.78 , 95%CI=0.60 - 0.96 ) . CONCLUSIONS The intervention group showed higher urine leakage cure rates than control group . This result suggests that multidimensional exercise strategies may be effective for all three types of urinary incontinence . BMI reduction and compliance to the intervention was the consistent predictor for the effectiveness of the exercise treatment
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 .