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 .
Terodiline with bladder retraining for treating detrusor instability in elderly people.
OBJECTIVE --To compare terodiline with bladder retraining against placebo with bladder retraining in the treatment of detrusor instability in frail elderly patients . DESIGN --R and omised , double blind , parallel group study . Treatment lasted for six weeks . Frequency of micturition and episodes of incontinence recorded on diary chart by patients . SETTING --Incontinence clinic and a geriatric day hospital at two teaching hospitals . PATIENTS --37 frail but ambulant patients , mean ( range ) age 80.4 ( 70 - 89 ) years with urinary frequency and urge incontinence , due to detrusor instability . Two patients withdrew before the first assessment ( one in each group ) and one could not complete the diary chart ( placebo group ) . INTERVENTIONS --19 patients received bladder retraining and terodiline 25 mg daily and 18 bladder retraining and placebo . MAIN OUTCOME MEASURES --Change in urinary frequency and number of episodes of incontinence after six weeks ' treatment . Patient 's subjective evaluation of symptoms . RESULTS --Little difference was found in the results of treatment with terodiline and placebo . The change in episodes of incontinence per 24 hours was no different in the two groups ( 95 % confidence interval -0.6 to 1.2 ; p = 0.75 ) and the difference between treatments in the change in frequency of micturition per 24 hours ( -0.2 ) was not significant ( -1.1 to 1.2 ; p = 0.76 ) . Ten patients taking terodiline thought they had improved compared with seven receiving placebo ; this difference was not significant . CONCLUSION --Although the number of patients in each group was small and may have been insufficient to detect a drug effect , the possible benefit of terodiline is likely to be small
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 .