Inpatient bladder retraining: is it beneficial on its own?
OBJECTIVE
Urinary incontinence is a common problem with serious effect on the quality of life. Bladder training aims to increase the interval between voids, either by a mandatory or self-adjustable schedule, so that incontinence is avoided. This study aimed to assess the effectiveness of inpatient bladder retraining.


METHODS
A retrospective case-note analysis was conducted over a period of 24 months. Outcome measures were decrease in incontinence episode frequency (IEF) and nocturia and increase in interval between voids. Subjective improvement was assessed on a four-point scale.


RESULTS
The study revealed statistically significant decrease in IEF and nocturia and increase in the interval between voids. Twenty-three percent was cured of their symptoms, 36% reported improvement, 27% did not find any change, whereas 14% reported that they were worse off their after bladder retraining.


CONCLUSIONS
The study confirms the usefulness of inpatient bladder retraining as a treatment option, especially in people refractory to outpatient management.
Majumdar
Amitabha
A
Birmingham Women's Healthcare NHS Trust, Metchley Park Road, Birmingham B15 2TG, UK. amitabhamajumdar@hotmail.com
Hassan
Ismail
I
Saleh
Sepeedeh
S
Toozs-Hobson
Philip
P
D000328:Adult; D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D015438:Health Behavior; D006801:Humans; D007297:Inpatients; D008875:Middle Aged; D053158:Nocturia / Q000150:complications / Q000628:therapy; D010353:Patient Education as Topic; D011788:Quality of Life; D012189:Retrospective Studies; D053201:Urinary Bladder, Overactive / Q000150:complications / Q000628:therapy*; D014549:Urinary Incontinence / Q000150:complications / Q000628:therapy*