Laurie Barclay, MD NEW YORK (MedscapeWire) May 17
Nurse continence advisors can reduce episodes of urinary incontinence through counseling on behavioral and lifestyle alterations, according to results of a randomized trial published in the May 14 issue of the Canadian Medical Association Journal.
“Urinary incontinence has many causes, particularly in elderly people, and the potential for overall clinical improvement is greater when multiple interventions target several factors,” write Michael J. Borrie and colleagues from the Division of Geriatric Medicine, University of Western Ontario in London.
“North American and Canadian practice guidelines for the effective management of adult urinary incontinence have advocated thorough initial assessment, then staged multidisciplinary approaches beginning with the least invasive and reversible (lifestyle and behavioral) interventions, before drug therapy (reversible) and surgery (invasive and irreversible).”
In this 6-month trial, 421 patients with urinary incontinence at least once a week were randomized to either a control group or a lifestyle and behavioral intervention group. The latter group attended sessions every 4 weeks led by nurse continence advisors with physician supervision and learned about bladder training, pelvic floor exercises, and fluid and caffeine restriction.
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