Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms
| Autor: | Diane Borello-France, Vivian W. Sung, Diane K. Newman |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Urology Psychological intervention Urinary incontinence Pelvic Floor Muscle Medical Records Perioperative Care Article law.invention Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Clinical Protocols law medicine Humans 030212 general & internal medicine Prospective Studies Mixed urinary incontinence Suburethral Slings 030219 obstetrics & reproductive medicine Pelvic floor Cognitive Behavioral Therapy business.industry Urinary Bladder Overactive Perioperative medicine.disease Combined Modality Therapy Exercise Therapy body regions medicine.anatomical_structure Urinary Incontinence Overactive bladder Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurourology and urodynamics. 37(1) |
| ISSN: | 1520-6777 |
| Popis: | AIMS The 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. METHODS As 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. RESULTS The 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. CONCLUSIONS This paper details a perioperative behavioral/pelvic floor exercise intervention research study protocol developed for women undergoing surgery for MUI. |
| Databáze: | OpenAIRE |
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