Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms

被引:26
作者
Newman, Diane K. [1 ]
Borello-France, Diane [2 ]
Sung, Vivian W. [3 ]
机构
[1] Univ Penn, Dept Surg, Div Urol, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Duquesne Univ, Rangos Sch Hlth Sci, Dept Phys Therapy, Pittsburgh, PA 15219 USA
[3] Brown Univ, Dept Obstet & Gynecol, Div Urogynecol & Reconstruct Pelv Surg, Alpert Med Sch, Providence, RI 02912 USA
基金
美国国家卫生研究院;
关键词
bladder training; female; pelvic floor exercise training; stress strategies; urge control strategies; urinary incontinence; NONSURGICAL MANAGEMENT; TRANSOBTURATOR TAPE; MIDURETHRAL SLINGS; URGE INCONTINENCE; RANDOMIZED-TRIAL; OLDER WOMEN; INTERVENTIONS; CONTINENCE; BIOFEEDBACK; FREQUENCY;
D O I
10.1002/nau.23244
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
AimsThe primary aim is to provide detailed rationale and methodology for the development and implementation of a perioperative behavioral/pelvic floor exercise research protocol for women who self-chose surgical intervention and who may or may not have been offered behavioral treatments initially. This protocol is part of the ESTEEM trial (Effects of Surgical Treatment Enhanced with Exercise for Mixed Urinary Incontinence Trial) which was designed to determine the effect of a combined surgical and perioperative behavioral/pelvic floor exercise intervention versus surgery alone on improving mixed urinary incontinence (MUI) and overactive bladder (OAB) symptoms. MethodsAs part of a multi-site, prospective, randomized trial of women with MUI electing midurethral sling (MUS) surgical treatment, participants were randomized to a standardized perioperative behavioral/pelvic floor exercise intervention+MUS versus MUS alone. The specific behavioral intervention included: education on voiding habits, pelvic floor muscle training (PFMT), bladder training (BT), strategies to control urgency and reduce/prevent urinary symptoms, and monitoring/promoting adherence to behavioral recommendations. To ensure consistency across all eight research sites in the pelvic floor disorders network (PFDN), selective behavioral treatments sessions were audiotaped and audited for protocol adherence. ResultsThe behavioral intervention protocol includes individualization of interventions using an algorithm based on pelvic floor muscle (PFM) assessment, participant symptoms, and findings from the study visits. We present, here, the specific perioperative behavioral/pelvic floor exercise interventions administered by study interventionists. ConclusionsThis paper details a perioperative behavioral/pelvic floor exercise intervention research study protocol developed for women undergoing surgery for MUI.
引用
收藏
页码:14 / 26
页数:13
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