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 .
Increasing patient preparedness for sacral neuromodulation improves patient reported outcomes despite leaving objective measures of success unchanged.
PURPOSE We assessed how a group shared appointment influenced patient preparedness for  sacral nerve stimulation  for refractory overactive bladder and /or urge urinary incontinence . We also evaluated subjective and objective outcomes . MATERIAL S AND METHODS Patients considering sacral nerve stimulation were prospect ively enrolled and invited to attend a group shared appointment . This 75-minute presentation included a question and answer period with an implanting surgeon and an implanted patient . Control patients received st and ard office counseling . A patient preparedness question naire was completed after the group shared appointment or office counseling . Response to treatment was determined using the postoperative satisfaction question naire , Patient Global Impression of Improvement ( PGI-I ) and voiding diaries . RESULTS In our study 36 women with a mean ± SD age of 61 ± 15 years underwent sacral nerve stimulation .  There was no significant difference in patient demographics between the 19 women who attended the group shared appointment and the 17 controls . Overall preparedness was greater in the shared appointment group ( p = 0.043 ) with better underst and ing of the purpose of ( p = 0.003 ) and alternatives to ( p = 0.043 ) sacral nerve stimulation . Significantly more women in the shared appointment group than controls felt completely prepared ( 78.9 % vs 29.4 % , p = 0.003 ) and completely satisfied ( 78.9 % vs 35.3 % , p = 0.003 ) with sacral nerve stimulation as well as very much better ( 68.4 % vs 17.6 % , p = 0.002 ) according to the PGI-I. There was no difference between the groups in the number of women with a 50 % or greater symptom reduction on voiding diary . CONCLUSIONS Participating in a group shared appointment before sacral nerve stimulation improved patient preparedness and perceived outcomes of treatment , although there was no difference in objective outcomes based on voiding diary
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 .