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 Efficacy of Acupuncture in Treating Urge and Mixed Incontinence in Women: A Pilot Study
PURPOSE The propose of this pilot study was to examine the feasibility of recruiting women into a clinical trial design ed to examine the efficacy of acupuncture in treating urge and mixed urinary incontinence ( UI ) and the feasibility of performing the planned study procedures . We also sought to determine if there was preliminary evidence to suggest that acupuncture may be effective in reducing UI and improving general health-related and disease-specific quality of life and if a sham acupuncture needle is an effective placebo intervention . DESIGN This pilot study was a double-blinded , r and omized , clinical trial . Subjects were r and omly assigned to a true or sham ( placebo control ) acupuncture group . Both true and sham acupuncture treatments were performed twice a week for 6 weeks . All subjects were evaluated at the completion of the 6-week intervention and 4 weeks later . SAMPLE The sample consisted of 9 women between the ages of 44 and 66 years with urge or mixed urge and stress UI at least twice a week for a minimum of 3 months . MEASURES Subjects completed a 1-week bladder diary at baseline and at 1 and 4 weeks postacupuncture to assess the impact of acupuncture on incontinence episodes . Quality of life was measured at baseline and at 1 and 4 weeks postacupuncture using the Medical Outcomes Short-Form ( general health- related quality of life ) and the Incontinence Impact Question naire and Urogenital Distress Inventory ( incontinence-specific quality of life ) . RESULTS It was feasible to recruit subjects and perform the planned study procedures . Subjects r and omized to the true acupuncture group had a mean 63.30 % ( median = 65.99 % ) reduction in daytime accidents/day at 1 week postacupuncture and 67.47 % reduction ( median = 75.76 % ) at 4 weeks postacupuncture . In contrast , the mean reduction in daytime accidents was 18.88 % ( median = 19.64 % ) at 1 week and 16.67 % ( median = 0 % ) at 4 weeks post – sham acupuncture . There were no significant group differences in changes in the scores on the quality -of-life measures . Subjects ' perceptions about whether they had received the true or sham acupuncture were not significantly better than one would expect by chance . CONCLUSIONS The findings of this pilot study support the need for additional research examining the efficacy of acupuncture in the treatment of UI in women , the feasibility of performing study procedures , and the use of a sham needle as placebo in acupuncture studies
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 .