Cochrane · systematic review · CD013571

Bladder training for treating overactive bladder in adults

Funada, S, Yoshioka, T, Luo, Y, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 9 · 42.9%Very low 7 · 33.3%Low 4 · 19%Moderate 1 · 4.8%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Bladder training compared to no treatment for overactive bladder

Population: overactive bladder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported cure or improvement: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
RR 17 [1.13, 256.56]1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
Symptom‐ and condition‐related quality of life: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted0 studies · 0 participantsUngraded
Number of any adverse events: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted0 studies · 0 participantsUngraded
Participant‐reported satisfaction: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted0 studies · 0 participantsUngraded
Number of incontinence episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted1 study · 14 participantsLow
Downgraded: imprecision
Number of urgency episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted0 studies · 0 participantsUngraded
Number of micturition episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs no treatment
no estimate extracted0 studies · 0 participantsUngraded

Summary of findings table ‐ Bladder training compared to anticholinergics for overactive bladder

Population: overactive bladder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported cure or improvement: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
RR 1.37 [1.1, 1.7]4 studies · 258 participantsLow
Downgraded: risk of bias, imprecision
Symptom‐ and condition‐related quality of life: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
no estimate extracted2 studies · 117 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Number of any adverse events: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
RR 0.03 [0.01, 0.17]3 studies · 187 participantsVery low
Downgraded: risk of bias, imprecision
Participant‐reported satisfaction: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
no estimate extracted0 studies · 0 participantsUngraded
Number of incontinence episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
no estimate extracted2 studies · 117 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Number of urgency episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
no estimate extracted2 studies · 92 participantsVery low
Downgraded: risk of bias, imprecision
Number of micturition episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs anticholinergics
no estimate extracted3 studies · 175 participantsVery low
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Bladder training compared to pelvic floor muscle training (PFMT) for overactive bladder

Population: overactive bladder
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported cure or improvement: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted0 studies · 0 participantsUngraded
Symptom‐related quality of life: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted2 studies · 178 participantsLow
Downgraded: risk of bias, imprecision
Number of adverse events: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted1 study · 97 participantsModerate
Downgraded: imprecision
Participant‐reported satisfaction: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted0 studies · 0 participantsUngraded
Number of incontinence episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted1 study · 81 participantsLow
Downgraded: risk of bias, imprecision
Number of urgency episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted0 studies · 0 participantsUngraded
Number of micturition episodes per 24 hours: immediately after treatment
Summary of findings table ‐ Bladder training vs pelvic floor muscle training (PFMT)
no estimate extracted1 study · 81 participantsVery low
Downgraded: risk of bias, imprecision