SAN FRANCISCO, May 20, 2018 /PRNewswire/ -- Two studies
examining the impact a therapeutic yoga program and proper
toileting behaviors have on a woman's urinary function will be
presented at the 113th Annual Meeting of the American
Urological Association (AUA) Sunday, May
20, at 8:00 a.m. (PT) in the
San Francisco Moscone Convention Center. Meena Davuluri, MD, with the Montefiore Health
System in New York, will moderate
the session.
Study Details
Publication #: MP79-01
Do Abnormal Toileting Behaviors Contribute to Worse Urinary
Symptoms in Women? Lower urinary tract symptoms such as loss of
bladder control or a sudden urge to urinate are common in women,
and presumably relate to specific attributes of toileting behaviors
(i.e., what you do when you need to go to the bathroom and then
what you do while you are in the bathroom). That said, little is
known about the association between bathroom mistakes/abnormal
toileting behaviors and urinary symptoms, which is why researchers
from Nashville, TN sought to
determine whether increased lower urinary tract symptoms,
specifically symptoms related to overactive bladder (OAB - sudden
urge to urinate that you can't control), are considered by women to
be a dysfunctional or abnormal toileting behavior.
Researchers recruited 2,215 women to complete online
questionnaires, including the Toileting Behavior Scale (TBS) and
International Consultation on Incontinence Questionnaire for
Overactive Bladder (ICIQ-OAB). Behavior questions were grouped by
premature voiding, delayed voiding and straining to void. The
average age of participants was 47.3 years old.
Results showed:
- Nearly all participants noted they had dysfunctional toileting
behaviors with voiding, showing a correlation between their
toileting behaviors and lower urinary tract symptoms – the
strongest correlation being premature voiding.
- Nearly 98 percent of participants reported delayed voiding for
reasons including, being busy or at work.
- All except three women reported a place preference for voiding,
with 10.5 percent always avoiding public restrooms.
Study Details
Publication #: PD32-01
A Randomized Trial of a Group-Based Therapeutic Yoga Program
for Ambulatory Women with Urinary Incontinence: Current
behavioral treatment for urinary incontinence in women relies on
intensive, one-on-one sessions with urologists or other specialized
healthcare practitioners. Access to alternate, yet effective
management strategies that are more accessible to the 20+ million
incontinent women in the general population, is what prompted
Researchers in California to
develop a feasible, tolerable and successful group-based
therapeutic yoga program for women with urinary incontinence.
Participants, who were not already engaged in yoga and willing
to temporarily forgo clinical urinary incontinence treatments were
randomly assigned to take part in a three-month yoga therapy
program and keep voiding diaries so researchers could assess
changes in their urinary incontinence. The program consisted of
twice-weekly group classes and once-weekly home practice focused on
specialized Iyengar-style yoga techniques, versus a nonspecific
muscle stretching/strengthening program designed to provide a
rigorous time-and-attention control for the yoga program. Changes
in urinary incontinence frequency were assessed by voiding diaries
at baseline and 3 months. Eighty-nine percent (50) of the women
completed the three-month trial. Of those, 75 percent attended
>90 percent of group classes, and 88 percent completed >90
percent of home practice hours.
Results showed:
- Over three months, urinary incontinence frequency decreased by
74 percent in the yoga group versus 51 percent in the control
group.
- No adverse effects were reported by women from either the yoga
or control group.
Researchers concluded a yoga program taught specifically to help
with urinary incontinence offers a promising self-management
strategy to enhance the clinical treatments for incontinence.
"These results are very promising to women and provide simple
behavioral changes that can be very beneficial to women by
decreasing lower urinary tract symptoms and improving quality of
life," said Dr. Davuluri. "Additionally, the option of a
therapeutic yoga program provides a much more accessible option
that many patients can easily build into their weekly routine
compared to other medical treatments. Physicians can include these
favorable results in their discussions with patients to provide the
best management option for incontinence."
About the American Urological Association: The 113th
Annual Meeting of the American Urological Association takes place
May 18-21 at the Moscone Center in
San Francisco, CA. Founded
in 1902 and headquartered near Baltimore,
Maryland, the American Urological Association is a leading
advocate for the specialty of urology, and has more than 21,000
members throughout the world. The AUA is a premier urologic
association, providing invaluable support to the urologic community
as it pursues its mission of fostering the highest standards of
urologic care through education, research and the formulation of
health policy.
Contact:
Christine Frey, AUA
410-689-3731, cfrey@AUAnet.org
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SOURCE American Urological Association