Department of Urology, Seoul National University Hospital, Seoul, Korea.
Int Neurourol J. 2013 Mar;17(1):11-7. doi: 10.5213/inj.2013.17.1.11. Epub 2013 Mar 31.
This study was to investigate whether a systematized bladder training (BT) program is effective for patients with idiopathic overactive bladder (OAB).
A prospective study was conducted on 105 patients with OAB from March 2009 to November 2011. We developed a 30 minutes BT program, which consisted of first, refraining from going to the bathroom after feeling an urge to void, second, in order to stop thinking about voiding, ceasing action and thought temporarily, and third, performing pelvic floor exercises 5 to 6 times. Before and after BT, the patients filled out voiding diaries as well as the following questionnaires; International Consultation on Incontinence Questionnaire for overactive bladder (ICIQ-OAB), International Prostate Symptom Score (IPSS), overactive bladder questionnaire (OAB-q), the short form 36-item health survey (SF-36) questionnaire, the work productivity and activity impairment questionnaire, and a patients' perception of treatment benefit (PPTB).
A final analysis was performed from on 85 patients (38 male, 47 female) with idiopathic OAB. After the first BT, the results of the ICIQ-OAB showed improvement in frequency, nocturia, and urgency (P<0.05), and all domains of IPSS questionnaires showed significant improvement (P<0.05). Among the SF-36 domains, the role-physical domain showed significant improvement after the first BT, and the general health domain showed significant improvement after the second. The voiding diaries showed statistically significant changes in maximal voided volume after the first BT, and nocturia index and nocturnal polyuria index after the second BT. According to the PPTB questionnaire, the perceived usefulness of BT increased after each session, and almost all of the patients replied that BT improved their symptoms.
Our results demonstrated that BT was effective in improving many OAB related symptoms and quality of life in patients with idiopathic OAB. More clinical application of BT could be implemented in the future.
本研究旨在探讨系统膀胱训练（BT）方案对特发性膀胱过度活动症（OAB）患者是否有效。
2009 年 3 月至 2011 年 11 月，对 105 例 OAB 患者进行前瞻性研究。我们制定了一个 30 分钟的 BT 方案，包括：第一，有尿意时忍住不去厕所；第二，为了停止思考排尿，暂时停止动作和思维；第三，进行骨盆底运动 5-6 次。在 BT 前后，患者填写排尿日记以及以下问卷：国际尿失禁咨询问卷膀胱过度活动症简表（ICIQ-OAB）、国际前列腺症状评分（IPSS）、膀胱过度活动症问卷（OAB-q）、简明健康调查问卷 36 项（SF-36）、工作效率和活动障碍问卷以及患者对治疗益处的感知（PPTB）。
对 85 例特发性 OAB 患者（38 例男性，47 例女性）进行了最终分析。首次 BT 后，ICIQ-OAB 的频率、夜尿和尿急均有改善（P<0.05），IPSS 问卷各领域均有显著改善（P<0.05）。在 SF-36 领域中，首次 BT 后角色躯体领域显著改善，第二次 BT 后一般健康领域显著改善。首次 BT 后最大排尿量有统计学意义的变化，第二次 BT 后夜尿指数和夜间多尿指数有统计学意义的变化。根据 PPTB 问卷，每次 BT 后 BT 的有用性增加，几乎所有患者都表示 BT 改善了他们的症状。
我们的结果表明，BT 可有效改善特发性 OAB 患者的许多 OAB 相关症状和生活质量。未来可更多地应用 BT。
