Behavioural Therapy With Checklist for Overactive Bladder
Behavioural Therapy With Checklist for Overactive Bladder
The aim of this study is to investigate the efficiency of this newly-established checklist
 for overactive bladder (OAB) and whether determinate to adherence and persistence rate of
 combination of behavioural therapy and anticholinergic medications in patients with OAB.
Overactive bladder (OAB) can worsen quality of life but it is not life-threatening condition.
 Although OAB medications effectively decrease disturbing symptoms of OAB, there are a lot of
 adverse side effects such as dry mouth, cognitive changes, constipation, urinary retention,
 blurred vision and dyspepsia. Therefore, guidelines have firstly recommended behavioural
 therapy which are noninvasive and not linked with adverse side effects. These behavioural
 recommendations include an advice on fluid balance, bladder retraining, urgency suppression
 or normal voiding techniques, pelvic floor muscle training, caffeine reduction, dietary
 changes, weight loss and other life style changes to improve lower urinary tract symptoms of
 OAB.

 Educational leaflets, verbal or audio-visual instructions and trainings for behavioural
 therapy have been recommended for patients with OAB, however, to date these beneficial
 instructions have not been documented as a written checklist. Therefore, they were collected
 and developed as a written checklist to instruct the patients. The aim of this study was to
 investigate the efficiency of this newly-established checklist for OAB and whether
 determinate to adherence and persistence rate of combination of behavioural therapy and
 anticholinergic medications in patients with OAB.
Inclusion Criteria:

 Patients with

 -  >8 micturitions,

 -  >1 nocturia,

 -  >6 urgency or

 -  >3 urgency urinary incontinence episodes per 24 h according to 3-day bladder diary.

 Exclusion Criteria:

 -  active urinary tract infection,

 -  a maximum flow rate of 15 ml. per second or less at least 2 uroflow studies,

 -  residual volume of 100 cc or more,

 -  any medications for OAB, benign prostatic obstruction,

 -  polyuria (>3 l per 24 hour),

 -  endocrinological disease such as diabetes mellitus or diabetes insipidus which can
 cause polyuria,

 -  neurological or psychological disease disease,

 -  prostate or bladder cancer, renal disease, hypertension, genitourinary or congenital
 abnormality,

 -  history of transobturator or transvaginal tape or pelvic organ prolapse surgery

 -  pelvic radiation or surgery