What role do bladder training and pelvic floor exercises play in the management of overactive bladder?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Bladder training is recommended as a first-line treatment for women with urgency or mixed urinary incontinence, lasting for a minimum of 6 weeks, to help manage overactive bladder symptoms .

Pelvic floor exercises, specifically pelvic floor muscle training, are part of lifestyle interventions and are recommended to be offered as a first-line treatment, with programmes comprising at least 8 contractions performed 3 times per day .

Pelvic floor muscle training aims to improve pelvic floor muscle strength, endurance, and relaxation, which can help reduce urgency and incontinence episodes associated with overactive bladder .

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