Carolyn Sampselle is Professor of Nursing & Women's Studies and Associate Professor of Obstetrics & Gynecology at the University of Michigan, Ann Arbor, MI. Dr. Sampselle is also a certified women's health nurse practitioner. Her research on urinary incontinence in women is funded by the National Institutes of Aging and Nursing Research and builds on more than 10 years of study. She was inducted as a Fellow in the American Academy of Nursing in 1992.
BEHAVIORAL INTERVENTION FOR URINARY INCONTINENCE IN WOMEN: EVIDENCE FOR PRACTICE
Article first published online: 26 JAN 2011
2000 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 45, Issue 2, pages 94–103, March-April 2000
How to Cite
Sampselle, C. M. (2000), BEHAVIORAL INTERVENTION FOR URINARY INCONTINENCE IN WOMEN: EVIDENCE FOR PRACTICE. Journal of Midwifery & Womens Health, 45: 94–103. doi: 10.1016/S1526-9523(99)00016-1
- Issue published online: 26 JAN 2011
- Article first published online: 26 JAN 2011
In the past, clinicians have relied heavily on pharmacologic and surgical interventions for urinary incontinence in women. However, evidence now exists that less invasive, behavioral therapies can be extremely effective in helping women become continent; thus, strategies that involve bladder and pelvic floor muscle training should generally be the first line of treatment. Before behavioral intervention is initiated, it is important to assess for any medical or associated conditions that should be treated first. Bladder training enables women to accommodate increasingly greater volumes of urine in the bladder and gradually to extend the interval between voiding. Pelvic floor muscle training increases awareness of function and strengthens these voluntary muscles, promoting continence.