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March/April 2021 Annals of Family Medicine Tip Sheet

Study Reveals New Hope for Men With Common Urinary Issues A new systematic review of evidence recommends the use of behavioral self-management treatments for common urinary issues experienced by upwards of 70 percent of older men. Common symptoms include trouble urinating, increased frequency and incontinence. These symptoms can have a substantial negative impact on sleep, social functioning and quality of life. Several guidelines recommend self-management techniques like health education, advice on fluid intake, and bladder retraining; however, in practice, self-management is often excluded from the menu of treatment options that include medication and surgery. Researchers at Bond University s Institute for Evidence-Based Healthcare found that self-management interventions reduced the severity of lower urinary tract symptoms. The reduction in symptoms appeared similar in groups receiving medications versus self-management interventions. However, compared with drugs alone, individu

Treating incontinence in primary care: A doctor versus mobile app trial

 E-Mail A mobile app designed to help women manage urinary incontinence was as effective as usual, in-person treatment of incontinence in primary care, according to new research from the Netherlands. The study included 262 women with frequent stress incontinence, overactive bladder or a mix of symptoms. Participants were randomly assigned to use a standalone mobile app called URinControl, which offered pelvic floor muscle and bladder training exercises. Those in a control group received standard care and were referred to their own primary care doctors who were broadly advised to follow the Dutch guidelines for primary care. After four months, women who used only the incontinence app and those who continued with standard care experienced similar results, with a decline in the severity of their symptoms, less frequent leakage and improved quality of life. Statistical analysis showed just over a one-half percentage point difference between the two groups average decline in symptom se

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