The Science of Behavioural Treatments for LUTS

Round Table Discussion 7

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START END TOPIC SPEAKER
11:35 11:50 Introduction Diane Newman
11:50 12:05 Combining Urge Suppression with Bladder Training: What components are effective? Jean Wyman
12:05 12:20 Toileting Programs: What has been shown to work in what setting? Mary Palmer
12:20 12:35 Pelvic Floor Muscle Training During Pregnancy: When, How & Why? Lisa Kane Low

Jean F. Wyman
Bladder training is recommended in international clinical practice guidelines as a first-line treatment for lower urinary tract symptoms (LUTS) in adults. It offers the advantages of being simple, relatively inexpensive, and free from unpleasant side effects. This presentation will describe the three main components of bladder training and how urge suppression strategies vary across protocols. A summary of the evidence base related to the effectiveness of these different bladder training protocols in managing LUTS in women and men will be provided.

Mary H. Palmer
Over half of nursing home residents and many frail elders in the acute care setting require toileting programs, but evidence reveals that not all urinary elimination needs are met. Lack of personnel, staff availability, competing care priorities, and poor adherence to toileting programs are usually identified as culprits, yet other under-recognized factors may be at play. The focus of the presentation will be on facilitators and barriers to implementing and sustaining toileting programs in long-term and acute-care settings nursing homes. Proactive short-term and long-term strategies to advance development, adoption, and effectiveness of toileting programs will be addressed.

Lisa Kane Low
Pelvic floor muscle training has been an area of focus for health care professionals and consumers alike as an opportunity for prevention of or rehabilitation from negative changes post childbirth. This presentation will address the who should be doing which exercises or not to support optimal pelvic floor health during pregnancy and postpartum. A summary of the evidence base related to the effectiveness of specific approaches to improving pelvic floor musculature will be addressed including the range of approaches from one size fits all to a more tailored identification of who is at risk for negative outcomes.