Episode 152: Leaking out the evidence around overactive bladders and urge incontinence
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In episode 152, Mike and James stream to the listeners a synopsis of the literature associated with treatments for overactive bladder and urge incontinence. Despite constant interruptions by James, Mike is able to provide a torrent of useful tips and suggestions for this common problem.
Show notes
1) Diagnosing Incontinence
Ann Intern Med 2006;144:715-723
2) Anticholinergics and pelvic floor exercises
Ann Intern Med 2008; 148; 459-73
3) Overactive bladder, urge incontinence and anticholinergic drugs
4) Overactive bladder drugs
Cochrane 2006;4:CD00378
Cochrane 2007;4:CD003190
Cochrane 2005;3:CD005429
Comments
Thanks
James and Mike (or Mike and James?)
Thanks for the way you tackle the trials. You got me excited about evidence based medicine again and I am glad I am now a premium member. I saw you guys in Illinois a couple of years ago at VA program and have been listening to podcasts since.
Thanks!!! Jim
Our pleasure
Hi Jim or James :) - It is great to here that something we have done has got you excited about evidence again - we hear from so many people that incorporating evidence and patient preferences into practice brings back the art of medicine. It's a heck of a lot more rewarding.
Is caffeine a bladder irritant?
Hi there .
Love your podcasts.
I am interested whether Mike's statement that caffeine is a bladder irritant is valid though? What is the evidence base for this? Is the urinary frequency simply indicative of the volume of liquid taken when drinking coffee or is it the fairy dust effect of coffee on the transitional epithelium of the bladder?
Many Thanks,
Mick Tarry
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