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Vol. 54, No. 4, 2008
Issue release date: June 2008
Gerontology 2008;54:224–231

Bladder Training and Kegel Exercises for Women with Urinary Complaints Living in a Rest Home

Aslan E. · Komurcu N. · Beji N.K. · Yalcin O.
aDepartment of Obstetrics and Gynecologic Nursing, Florence Nightingale School of Nursing, and bDepartment of Gynecology and Obstetrics, Istanbul Medical Faculty, Istanbul University, and cFaculty of Health Sciences, Department of Nursing, Marmara University, Istanbul, Turkey

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Background: Urinary incontinence is an annoying, uncomfortable and unpleasant condition affecting the elderly. The problem of bedwetting and other urinary complaints are common in rest homes. Objective: Our study aimed to determine the efficiency of bladder training and Kegel exercises for older women living in a rest home. Methods: This is an experimental prospective research study. Through a randomization process, 25 women were included in the treatment group, and another 25 were included in the control group. Participants were living in a rest home for women aged older than 65 years with urinary complaints. The pretreatment interview form, Quality of Life Scale, Mini-Mental Test, Rankin Scale, daily urinary forms and pad tests were administered to the treatment and control groups. Bladder training and Kegel exercises were given to the treatment group for 6–8 weeks. The second evaluation was performed 8 weeks after treatment, and the last evaluation was carried out 6 months after treatment. Results: The average age of the treatment group was 78.88 ± 4.80 years, and the average age of the control group 79.44 ± 5.32 years. Urgency, frequency and nocturia were common complaints. Pretreatment, 8-week and 6-month evaluations revealed that the amount of urinary incontinence with urgency, frequency and nocturia complaints statistically and significantly decreased in the treatment group compared to the control group. In the pad test results, a statistically significant decrease was observed in the treatment group compared to the control group. A significant increase in pelvic floor strength was observed in the treatment group compared to the control group upon all evaluations. Conclusion: Behavioral therapy can be used easily as an effective treatment for urinary incontinence in elderly women living at a rest home.

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  1. Abrams P, Cardozo L, Fall M, et al: The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167–178.
  2. Fonda D: Management of the incontinent older people. Int Continence Surv 1995;2: 2–9.
  3. Grimby A, Milsom I, Molander U, et al: The influence of urinary incontinence on the quality of life of elderly women. Age Ageing 1993;22:82–89.
  4. Ouslander JG, Schnelle JF: Incontinence in the nursing home. Ann Intern Med 1995;122:438–449.
  5. Weis BD: Diagnostic evaluation of urinary incontinence in geriatric patients. Am Fam Physician 1998;57:2675–2684, 2688–2690.
  6. Aslan E, Kızılkaya Beji N, Erkan Ayyıldız H, Yalcın O: Incontinence and its effects on quality of life of older people living in residential and nursing homes. Joint Meet Int Continence Soc and Int Urogynecol Assoc, Paris, August 2004, poster No. 428, pp 23–27.
  7. Minossion VA, Drutz HP, Al-Badr A: Urinary incontinence as a worldwide problem. Int J Gynecol Obstet 2003;82:327–338.
  8. Kelleher C: Quality of life and urinary incontinence; in Cardozo L, Staskin D (eds): Textbook of Female Urology and Urogynaecology. London, Isis Medical Media, 2001, pp 48–58.
  9. Folstein MF, McHugh PR: Mini-mental state examination: a practical method of grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–198.
  10. Wade DT: Measurement in Neurological Rehabilitation. New York, Oxford University Press, 1992, pp 90, 239.
  11. Pierson CA: Pad testing, nursing interventions, and urine loss appliances; in Ostergard RD, Bent EA (eds): Urogynecology and Urodynamics Theory and Practice, ed 4. London, Lippincott Williams & Wilkins, 1991, pp 251–269.
  12. Thomas TM, Plymat KR, Blannin J, Meade TW: Prevalence of urinary incontinence. Br Med J 1980;281:1243–1245.
  13. Adams C, Frahm J: Genitourinary system; in Myers RS (ed): Saunders Manual of Physical Therapy Practice. Philadelphia, Saunders, 1995, pp 459–504.
  14. Amuzu BJ: Nonsurgical therapies for urinary incontinence. Clin Obstet Gynecol 1998;3:702–711.

    External Resources

  15. Bo K, Berghmans LCM: Nonpharmacologic treatments for overactive bladder-pelvic floor exercises. Urology 2000;55(suppl 5A): 7–11.

    External Resources

  16. Anders K: Bladder retraining; in Stanton SL, Monga AK (eds): Clinical Urogynecology. London, Churchill Livingstone, 2000, pp 575–581.
  17. Wyman JF, Fantl JA: Bladder training in ambulatory care management of urinary incontinence. Urol Nurs 1991;13:11–17.
  18. Rutchik SD, Resnick MI: The epidemiology of incontinence in the elderly. Br J Urol 1998;82(suppl 1):1–4.

    External Resources

  19. Wyman JF, Fantl JA, McClish DK, et al: Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Am J Obstet Gynecol 1998;179:999–1007.
  20. Fantl JA, Wyman JF, McClish DK, et al: Efficacy of bladder training in older women with urinary incontinence. JAMA 1991;265:609–613.
  21. Subak LL, Quesenberry CP, Posner SF, et al: The effect of behavioral therapy and urinary incontinence: a randomized controlled trial. Obstet Gynecol 2002;100:72–78.
  22. O’Brien J, Austin M, Sethi P, O’Boyle P: Urinary incontinence: prevalence, need for treatment, and efffectiveness of intervention by nurse. BMJ 1991;303:1308–1312.
  23. Gatti D: Impact of pelvic floor muscles rehabilitation on quality of life of incontinent women. 32nd Annu Meet Int Continence Soc, Heidelberg, 2002, abstract 139.

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