ABSTRACT
Behavior modification is an accepted treatment option for persons with urinary lower urinary
tract symptoms (LUTS) which include urinary incontinence (UI) and overactive bladder (OAB),
which include urgency, frequency, with or without urge UI and nocturia. These interventions
improve symptoms through identification of lifestyle habits and changing a person’s behavior,
environment or activity that are contributing factors or triggers (1). Interventions such as bladder
retraining and pelvic floor muscle rehabilitation attempt to decrease incontinence and OAB
symptoms through increasing awareness of the function and coordination of the bladder and
pelvic floor muscle so as to gain muscle identification, control, and strength and to decrease
bladder overactivity. These interventions are often referred to as behavioral treatments, and
involve learning new skills through extensive one-on-one patient instruction on techniques for
preventing urine loss, urgency, and other symptoms.
