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Bladder Retraining Drill

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  1. Indication
    1. Urge Incontinence
  2. Technique
    1. Baseline voiding interval obtained
    2. Ask patient to void every 30-60 minutes
      1. Patient voids regardless of voiding sensation
    3. Suppress urge to void before scheduled time
      1. Void only if needed to avoid Incontinence
  3. Monitoring
    1. Keep voiding and Incontinence diary
    2. Follow-up in clinic weekly
  4. Goals
    1. Increase voiding interval by 30 minutes per week
    2. Ultimately increase voiding interval to 2.5-3 hours
  5. Reference
    1. Fanti (1991) JAMA 265:609

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