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Urol Clin North Am. 2013 Nov;40(4):613-35. doi: 10.1016/j.ucl.2013.07.010. Epub 2013 Sep 11.

Office-based behavioral therapy for management of incontinence and other pelvic disorders.

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Division of Urology, Penn Center for Continence and Pelvic Health, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, 3rd Floor, West Pavilion, Perelman Center, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address:


According to evidence-based research and guidelines, behavioral interventions are effective and are recommended as first-line office-based treatment for incontinence and other pelvic disorders. These interventions are aimed at improving symptoms through education on healthy voiding habits and lifestyle modifications. Bladder training techniques are included, which involve progressive voiding schedules together with relaxation and distraction for urgency suppression as well as, pelvic floor muscle strengthening to prevent urine leakage, control urgency, and improve bladder emptying. This article presents the model for providing these treatments in urologic practice and details specifics of each intervention, including education guides for patients.


Behavioral treatment; Bladder training; Lifestyle modification; Lower urinary tract symptoms; Pelvic floor muscle training; Timed voiding

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