Behavioral Techniques to Address Overactive Bladder in Men

Behavioral techniques aren't recommended often for men with symptoms of overactive bladder. In this trial, U.S. researchers randomized 143 men with overactive bladder symptoms to either anticholinergic drug therapy (extended-release oxybutynin; dose titrated to balance effectiveness and adverse effects) or a behavioral intervention consisting of techniques to strengthen pelvic floor muscles, delay voiding, and suppress urge. Patients with bladder outlet obstruction and those whose symptoms responded to α-blocker therapy during a run-in phase were excluded. The behavioral techniques were taught by nurse practitioners.

After 8 weeks of treatment, the mean frequency of voiding decreased similarly in both groups — from about 11 to 9 voids daily.…