Abstract
Context: Pelvic floor electrical stimulation (PFES) has been shown to be effective for stress incontinence. However, its role in a multicomponent behavioral training program has not been defined. Objective: To determine if PFES increases efficacy of behavioral training for community-dwelling women with stress incontinence. Design and Setting: Prospective randomized controlled trial conducted from October 1, 1995, through May 1, 2001, at a university-based outpatient continence clinic in the United States. Patients: Volunteer sample of 200 ambulatory, nondemented, community-dwelling women aged 40 to 78 years with stress or mixed incontinence with stress as the predominant pattern; stratified by race, type of incontinence (stress only vs mixed), and severity (frequency of episodes). Interventions: Patients were randomly assigned to 8 weeks (4 visits) of behavioral training, 8 weeks (4 visits) of the behavioral training plus home PFES, or 8 weeks of self-administered behavioral treatment using a self-help booklet (control condition). Main Outcome Measures: Primary outcome was percentage reduction in the number of incontinent episodes as documented in bladder diaries. Secondary outcomes were patient satisfaction and changes in quality of life. Results: Intention-to-treat analysis showed that incontinence was reduced a mean of 68. 6% with behavioral training, 71.9% with behavioral training plus PFES, and 52. 5% with the self-help booklet (P=.005). In comparison with the self-help booklet, behavioral training (P=.02) and behavioral training plus PFES (P=.002) were significantly more effective, but they were not significantly different from each other (P=.60). The PFES group had significantly better patient self-perception of outcome (P
| Original language | English (US) |
|---|---|
| Pages (from-to) | 345-352 |
| Number of pages | 8 |
| Journal | Journal of the American Medical Association |
| Volume | 290 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 16 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
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Cite this
Effect of Behavioral Training with or Without Pelvic Floor Electrical Stimulation on Stress Incontinence in Women : A Randomized Controlled Trial. / Goode, Patricia S.; Burgio, Kathryn L.; Locher, Julie L.; Roth, David L; Umlauf, Mary G.; Richter, Holly E.; Varner, R. Edward; Lloyd, L. Keith.
In: Journal of the American Medical Association, Vol. 290, No. 3, 16.07.2003, p. 345-352.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of Behavioral Training with or Without Pelvic Floor Electrical Stimulation on Stress Incontinence in Women
T2 - A Randomized Controlled Trial
AU - Goode, Patricia S.
AU - Burgio, Kathryn L.
AU - Locher, Julie L.
AU - Roth, David L
AU - Umlauf, Mary G.
AU - Richter, Holly E.
AU - Varner, R. Edward
AU - Lloyd, L. Keith
PY - 2003/7/16
Y1 - 2003/7/16
N2 - Context: Pelvic floor electrical stimulation (PFES) has been shown to be effective for stress incontinence. However, its role in a multicomponent behavioral training program has not been defined. Objective: To determine if PFES increases efficacy of behavioral training for community-dwelling women with stress incontinence. Design and Setting: Prospective randomized controlled trial conducted from October 1, 1995, through May 1, 2001, at a university-based outpatient continence clinic in the United States. Patients: Volunteer sample of 200 ambulatory, nondemented, community-dwelling women aged 40 to 78 years with stress or mixed incontinence with stress as the predominant pattern; stratified by race, type of incontinence (stress only vs mixed), and severity (frequency of episodes). Interventions: Patients were randomly assigned to 8 weeks (4 visits) of behavioral training, 8 weeks (4 visits) of the behavioral training plus home PFES, or 8 weeks of self-administered behavioral treatment using a self-help booklet (control condition). Main Outcome Measures: Primary outcome was percentage reduction in the number of incontinent episodes as documented in bladder diaries. Secondary outcomes were patient satisfaction and changes in quality of life. Results: Intention-to-treat analysis showed that incontinence was reduced a mean of 68. 6% with behavioral training, 71.9% with behavioral training plus PFES, and 52. 5% with the self-help booklet (P=.005). In comparison with the self-help booklet, behavioral training (P=.02) and behavioral training plus PFES (P=.002) were significantly more effective, but they were not significantly different from each other (P=.60). The PFES group had significantly better patient self-perception of outcome (P
AB - Context: Pelvic floor electrical stimulation (PFES) has been shown to be effective for stress incontinence. However, its role in a multicomponent behavioral training program has not been defined. Objective: To determine if PFES increases efficacy of behavioral training for community-dwelling women with stress incontinence. Design and Setting: Prospective randomized controlled trial conducted from October 1, 1995, through May 1, 2001, at a university-based outpatient continence clinic in the United States. Patients: Volunteer sample of 200 ambulatory, nondemented, community-dwelling women aged 40 to 78 years with stress or mixed incontinence with stress as the predominant pattern; stratified by race, type of incontinence (stress only vs mixed), and severity (frequency of episodes). Interventions: Patients were randomly assigned to 8 weeks (4 visits) of behavioral training, 8 weeks (4 visits) of the behavioral training plus home PFES, or 8 weeks of self-administered behavioral treatment using a self-help booklet (control condition). Main Outcome Measures: Primary outcome was percentage reduction in the number of incontinent episodes as documented in bladder diaries. Secondary outcomes were patient satisfaction and changes in quality of life. Results: Intention-to-treat analysis showed that incontinence was reduced a mean of 68. 6% with behavioral training, 71.9% with behavioral training plus PFES, and 52. 5% with the self-help booklet (P=.005). In comparison with the self-help booklet, behavioral training (P=.02) and behavioral training plus PFES (P=.002) were significantly more effective, but they were not significantly different from each other (P=.60). The PFES group had significantly better patient self-perception of outcome (P
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U2 - 10.1001/jama.290.3.345
DO - 10.1001/jama.290.3.345
M3 - Article
VL - 290
SP - 345
EP - 352
JO - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
SN - 0098-7484
IS - 3
ER -