What is the primary goal of bladder training in urge incontinence?

• A. Increase functional bladder capacity and reduce urgency/frequency
• B. Decrease bladder capacity
• C. Increase detrusor contractility
• D. Cure urge incontinence

Answer: (A)

Bladder training aims to build how much urine the bladder can store during the day and to lessen the immediate urge to void. By using scheduled voiding and gradually lengthening the time between bathroom trips, the bladder adapts to hold more urine and the detrusor muscle becomes less reactive to small amounts of filling. This increases functional bladder capacity—the practical amount a person can hold during daily activities—leading to fewer urgency sensations and fewer leakage episodes.

Increasing detrusor contractility or reducing capacity would worsen symptoms, and while bladder training can greatly improve control, it is not typically described as a cure.