Table 11-157Bladder training vs. TURP - Clinical study characteristics

OutcomeNumber of studiesDesignLimitationsInconsistencyIndirectnessImprecision
Change in symptom score at 6 months follow up741RCTNo serious limitations (a)
Further notes (b)
No serious inconsistencyNo serious indirectnessNo serious imprecision
Change in quality of life (IPSS question) at 6 months follow up741RCTNo serious limitations (a)
Further notes (b)
No serious inconsistencyNo serious indirectnessNo serious imprecision
Qmax at 6 months follow up74,1302RCTNo serious limitations (a)
Further notes (b)
No serious inconsistencyNo serious indirectnessNo serious imprecision
Adverse events0RCT
a

Both studies report adequate randomisation methods, evidence of allocation concealment and complete outcome data but neither study reports masked outcome assessment. One study74 reports change from baseline and the other study130 reports outcomes at follow up. Both outcome measures are combined where possible in a single meta-analysis following methods described in the Cochrane handbook.

b

There is variation between studies in how bladder training is delivered and followed up. In one study74 men receive only general advice on bladder training whereas in the other study130 men are followed up at weekly visits for the first month with analysis of frequency/volume charts to assess progress.

Both studies report adequate randomisation methods, evidence of allocation concealment and complete outcome data but neither study reports masked outcome assessment. One study74 reports change from baseline and the other study130 reports outcomes at follow up. Both outcome measures are combined where possible in a single meta-analysis following methods described in the Cochrane handbook.

There is variation between studies in how bladder training is delivered and followed up. In one study74 men receive only general advice on bladder training whereas in the other study130 men are followed up at weekly visits for the first month with analysis of frequency/volume charts to assess progress.

From: 11, Conservative management versus surgery

Cover of The Management of Lower Urinary Tract Symptoms in Men
The Management of Lower Urinary Tract Symptoms in Men [Internet].
NICE Clinical Guidelines, No. 97.
National Clinical Guideline Centre (UK).
Copyright © 2010, National Clinical Guideline Centre.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of the National Clinical Guideline Centre to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.