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Bladder retraining

VOL: 97, ISSUE: 05, PAGE NO: 45

RAY ADDISON, NURSE CONSULTANT IN BLADDER AND BOWEL DYSFUNCTION, MAYDAY HEALTHCARE

JANE LOPEZ, HONORARY NURSE SPECIALIST/NURSE LECTURER, KINGSTON UNIVERSITY

For patients diagnosed with detrusor instability (motor urgency) or sensory urgency, a bladder retraining programme should be considered. The aims of bladder retraining are to increase bladder capacity and to extend the period of time between voiding.

For patients diagnosed with detrusor instability (motor urgency) or sensory urgency, a bladder retraining programme should be considered. The aims of bladder retraining are to increase bladder capacity and to extend the period of time between voiding.

Bladder retraining is a behavioural therapy that will require regular contact with the patient to maximise motivation and compliance. To enhance outcomes it can be combined with pelvic muscle exercises, electrostimulation, anticholinergic drugs and a controlled caffeine intake.

All patients should receive a copy of their care plan, together with written health education material on bladder retraining. A frequency volume chart must be filled in at least one day a week during the retraining programme. The day is negotiated with the patient.

The use of anticholinergic drugs, caffeine restriction and electrostimulation combined with a bladder retraining programme are likely to be effective only for patients with motor urgency.

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