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 .
Evaluation of a new disposable "tampon like" electrostimulation technology (Pelviva®) for the treatment of urinary incontinence in women: a 12-week single blind randomized controlled trial.
AIMS To test the null hypothesis that a novel disposable " tampon like " electrostimulation device ( Pelviva ( ® ) ) is no better than unsupervised pelvic floor muscle exercise for treatment of urinary incontinence in women . METHODS Pre/post-intervention assessor blinded , single center RCT . A total of 123 community dwelling self referred women with symptoms of stress , urge , or mixed incontinence were r and omly assigned to one of two 12-week duration treatments : Pelviva ( ® ) used for 30 min a day plus unsupervised pelvic floor muscle exercise or unsupervised exercises alone . Outcome measures included ICIQ-UI ( primary ) , ICIQ FLUTSex and global impression of severity and improvement ( secondary ) completed at recruitment , after 4 weeks of unsupervised exercise and immediately post-treatment . Diary of exercise frequency/type , overall impression , and usage of device was completed mid- and post-treatment . RESULTS Pelviva ( ® ) plus exercise produced significantly better outcome than unsupervised exercise alone : 5 points ( 45 % ) versus 1 point ( 10 % ) for ICIQ-UI ( P = 0.014 ) ; 67 % versus 33 % for leak frequency ( P = 0.005 ) ; 40 % versus 20 % for leak interference with life ( P = 0.018 ) . Incontinence was less bothersome during sex to a greater extent in the Pelviva ( ® ) group ( P = 0.026 ) . Women were enthusiastic about the device , found it comfortable/easy to use and experienced no adverse events . CONCLUSIONS The Pelviva ( ® ) device plus unsupervised exercise is more successful than unsupervised pelvic floor muscle exercise alone in treating urinary incontinence . The device is easy/comfortable to use , there are no apparent adverse incidents , and women can manage their incontinence in the privacy of their own home . The product will be launched 2013
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 .