Home practice included 45 pelvic muscle exercises every day. Patients in all three groups were instructed to complete daily bladder diaries, which were reviewed at the four clinic visits at two-week intervals. Patient satisfaction was also highest in the behavioural therapy group. Only 14 per cent of patients receiving behavioural treatment wanted to change to another treatment, compared to 76 per cent in both the drug and the control groups. Dry mouth and inability to void were reported more frequently by patients receiving oxybutynin than by patients in the other groups.
Behavioural therapy is an effective treatment for urge and mixed urinary incontinence.
A limitation of this treatment approach is that it depends on the active participation of the patient, limiting its use to cognitively intact patients. Burgio KL, Locher JL, Goode PS, et al. In most patients, megestrol acetate is extremely well tolerated, although irregular vaginal bleeding, fluid retention or edema, nausea and impotence have been rarely reported. Four case reports of hiccups probably induced by megestrol acetate have been recently documented. The hiccups were intractable and led to difficulties with eating and sleeping.