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 .
Acupuncture for Overactive Bladder: A Randomized Controlled Trial
Objective : To compare acupuncture treatment for overactive bladder with urge incontinence with a placebo acupuncture treatment . Methods : Eighty-five women enrolled in this r and omized , placebo-controlled trial . Women were r and omly assigned to either receive an acupuncture treatment expected to improve their bladder symptoms , or a placebo acupuncture treatment design ed to promote relaxation . They underwent cystometric testing , completed a 3-day voiding diary , and completed the urinary distress inventory and incontinence impact question naire , vali date d quality -of-life inventories , before and after 4 weekly acupuncture treatments . The primary endpoint was number of incontinent episodes over 3 days . Secondary endpoints included voiding frequency and urgency , cystometric bladder capacity , maximum voided volume , and the urinary distress inventory and incontinence impact question naire symptom scores . Results : Seventy-four women completed all aspects of the study . Women in both treatment and placebo groups had significant decreases in number of incontinent episodes ( 59 % for treatment , 40 % for placebo ) without a significant difference in the change between the groups . Women in the treatment group had a 14 % reduction in urinary frequency ( P = .013 ) , a 30 % reduction in the proportion of voids associated with urgency ( P = .016 ) , and a 13 % increase in both maximum voided volume and maximum cystometric capacity ( P = .01 ) . Both groups also had an improvement in the urinary distress inventory and incontinence impact question naire scores ( 54 % decrease for treatment , 30 % decrease for placebo , P < .001 for the difference in change between the groups ) . Conclusion : Women who received 4 weekly bladder-specific acupuncture treatments had significant improvements in bladder capacity , urgency , frequency , and quality -of-life scores as compared with women who received placebo acupuncture treatments . Level of Evidence :
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 .