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A behavioural management for continence intervention reduced urinary incontinence symptoms in older rural women

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QUESTION: In older rural women with urinary incontinence (UI), does a behavioural management for continence (BMC) intervention involving self monitoring, bladder training, and pelvic muscle exercise (PME) with biofeedback reduce the symptoms of UI more than a control intervention?


Randomised {allocation concealed*}, blinded (outcome assessors)*, controlled trial with up to 2 years of follow up.


7 rural counties in north Florida.


218 women who were ≥55 years of age and living in a private residence and had involuntary urine loss ≥2 times/week of ≥1 g/24 hours; symptoms of stress, urge, or mixed incontinence; and no bacteria in their urine. Patients with bladder cancer or kidney disease, an indwelling urinary catheter, residual …

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