Virtual Bladder Training for Overactive Bladder Syndrome in Women. Which Symptom Responds Better?

According to International Urogynecological Association and International Continence Society joint report on the terminology for female pelvic floor dysfunction, overactive bladder syndrome (OAB) is defined as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence, in the absence of urinary tract infection or other obvious pathology. Bladder training lasting for a minimum of 4 to 6 weeks is indicated as a first-line treatment. The investigators' goal is to compare changes in satisfaction, measured in terms of quality of life, in 2 groups of women with different main accompanying symptoms in OAB (frequency vs. nocturia), before and after bladder training utilizing telemedicine (virtual bladder training), for 4 to 6 weeks.

Main symptom: Increased daytime urinary frequency: complaint that micturition occurs more frequently during waking hours than previously deemed normal by the woman.

KHQ score: 0-100 points per domain. Higher scores mean a worse outcome.Ten points change in KHQ score, before and after bladder training.

ICIQ SF score: 0-21 points. Higher scores mean a worse outcome. Three points change in ICIQ-SF score, before and after bladder training.

Inclusion Criteria: women over 18 years of age Live in Buenos Aires City Overactive Bladder Syndrome Access to virtual appointment Exclusion Criteria: Previous overactive bladder syndrome treatment. Prior stress urinary incontinence or pelvic organ prolapse surgery. History of Neurogenic Bladder, pelvic organs prolapse or pelvic radiation. Pregnancy.