Thursday 27 February 2020 ,
Thursday 27 February 2020 ,
Latest News
  • Bangladesh world’s most polluted country: Report
  • Road crash kills 2 women in capital
  • ‘Casino vault’ busted
  • Tigers outplay Zim by innings, 106 runs
  • Iranian minister tested positive
  • Declare Mar 7 as nat’l day
  • 11th anniv of Pilkhana carnage observed
  • No coronavirus patient detected yet in Bangladesh: Minister
  • Former Egyptian president Hosni Mubarak dies at 91
20 January, 2020 00:00 00 AM
Print

What works best to help men with overactive bladder?

What works best 
to help men with 
overactive bladder?

Learning how to control the urge to urinate may be all the therapy men need to treat an overactive bladder, a new study suggests. A combination of drugs and behavioural therapy seems to work better than drugs alone, but behavioral therapy alone also worked better than drugs, the researchers found. The trial of 204 men with overactive bladder suggests behavioural therapy may be a good way to start treatment, the study authors said.

"The study provides good evidence that for the group of men with overactive bladder, symptoms without obstruction from an enlarged prostate can be successfully managed with behavioral therapy alone," said Dr. Manish Vira, who was not involved with the study, but reviewed the findings. He's vice chairman of urologic research at Northwell Health's Arthur Smith Institute for Urology in Lake Success, NY.

Many medications typically prescribed for overactive bladder have significant side effects, especially in older men using multiple medications, Vira added. For the trial, Kathryn Burgio, associate director of research at the Birmingham VA Medical Center in Alabama, and colleagues randomly assigned men to six weeks of behavioural therapy alone, drug therapy alone, or combined drug and behavioural therapy. After the initial six weeks, all of the men received combination therapy for another six weeks.

Behavioural therapy gave men pelvic floor muscle training along with techniques to suppress the urge to urinate and delay urinating. The drugs prescribed included tolterodine (Detrol) and tamsulosin (Flomax). Like behavioral therapy, the treatment is covered by most insurance. Symptoms of overactive bladder were reduced in all groups, the study found. Combination therapy reduced symptoms by 31%, behavioral therapy alone by 25%, and drugs alone by 13%.

Further analysis found combination therapy significantly lowered frequency of urination, compared with drug therapy, but not when compared with behavioural therapy alone.  After all the men had been on combination therapy, those who had been on drugs and behavioral therapy from the start had the greatest reduction in the frequency of urination, the findings showed.

"Although some clinicians advocate combined treatment, most do not integrate behavioural components, such as pelvic floor muscle training or delayed voiding, into standard therapy," the authors concluded in their report. "Behavioural therapy can be implemented by nurses, nurse practitioners, and physical therapists and has the potential for widespread application in a variety of outpatient settings."

Two Stanford University doctors said the findings confirm what urologists have advocated for more than a decade, and support American Urological Association treatment guidelines on management of overactive bladder.  "While patients may often request medication to address their symptoms, this study supports the recommendation to begin with behavioural therapy, or to combine pelvic floor exercises with medication, as they work better than medication alone," Dr. Craig Comiter and Dr. Ekene Enemchukwu, assistant professors of urology, obstetrics and gynecology, said in a joint email. They were not involved with the study. Starting with behavioural therapy can prevent side effects associated with overactive bladder medications, such as dry mouth, dry eyes, constipation, memory changes and drowsiness, they said.

If first-line treatment is not successful, medications may be added, Comiter and Enemchukwu suggested. Alternatively, behavioural therapy may be combined with medications immediately.

HealthDay

Comments

Most Viewed
Digital Edition
Archive
SunMonTueWedThuFri Sat
01
02030405060708
09101112131415
16171819202122
23242526272829
More Op-ed stories
Soleimani assassination and the prospect of peace in Middle East The recent events in the Middle East have made us pessimistic about the prospects of world peace. America's impulsive assassination of the top Iranian General Qasem Soleimani in the beginning of the…

Copyright © All right reserved.

Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Disclaimer & Privacy Policy
....................................................
About Us
....................................................
Contact Us
....................................................
Advertisement
....................................................
Subscription

Powered by : Frog Hosting