Non-surgical management of stress urinary incontinence: ambulatory treatments for leakage associated with stress (ATLAS) trial

被引:26
|
作者
Richter, Holly E.
Burgio, Kathryn L.
Goode, Patricia S.
Borello-France, Diane
Bradley, Catherine S.
Brubaker, Linda
Handa, Victoria L.
Fine, Paul M.
Visco, Anthony G.
Zyczynski, Halina M.
Wei, John T.
Weber, Anne M.
机构
[1] Univ Alabama Birmingham, Div Womens Pelv Med & Reconstruct Surg, Dept Obstet & Gynecol, Birmingham, AL 35249 USA
[2] Dept Vet Affairs Med Ctr, Birmingham Atlanta GRECC, Birmingham, AL USA
[3] Univ Alabama Birmingham, Div Gerontol & Geriatr Med, Birmingham, AL 35249 USA
[4] Duquesne Univ, Dept Phys Therapy, Pittsburgh, PA 15282 USA
[5] Univ Iowa, Dept Obstet & Gynecol, Iowa City, IA 52242 USA
[6] Loyola Univ, Med Ctr, Dept Obstet & Gynecol, Maywood, IL 60153 USA
[7] Johns Hopkins Univ, Sch Med, Dept Obstet & Gynecol, Baltimore, MD 21205 USA
[8] Baylor Coll Med, Dept Obstet & Gynecol, Houston, TX 77030 USA
[9] Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC USA
[10] Univ Pittsburgh, Div Gynecol Specialties, Pittsburgh, PA 15260 USA
[11] Univ Michigan, Dept Urol, Ann Arbor, MI 48109 USA
关键词
D O I
10.1177/1740774506075237
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background Non-surgical treatment for stress urinary incontinence (SUI) is recommended as first-line therapy, yet few prospective studies and no randomized trials compare the most common non-surgical treatments for SUI. Purpose To present the design and methodology of the ambulatory treatments for leakage associated with stress (ATLAS) trial, a randomized clinical trial comparing three interventions for predominant SUI in women: intravaginal continence pessary; behavioral therapy (including pelvic floor muscle training and exercise and bladder control strategies); and a combination of the two treatments. Methods Treatment outcome measures, collected at 12 weeks and six and 12 months post randomization, include the Patient Global Impression of Improvement (PGI-I), the Stress Incontinence Scale of the Pelvic Floor Distress Inventory (PFDI), seven-day bladder diaries, Pelvic Floor Impact Questionnaire (PFIQ), Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Questionnaire (PISQ-12), Patient Satisfaction Questionnaire (PSQ) and the Medical Outcomes Study Short Form Health Survey (SF-36). Limitations The study design reduces most common biases, but some degree of selection bias may remain. Conclusion This trial will provide useful information to help counsel women with stress and mixed incontinence about the relative efficacy and satisfaction with pessary, behavioral therapy and both treatments combined.
引用
收藏
页码:92 / 101
页数:10
相关论文
共 50 条
  • [21] Non-pharmacological and non-surgical treatments for female urinary incontinence: an integrative review
    Mendes, Adilson
    Rodolpho, Juliana R. C.
    Hoga, Luiza A. K.
    APPLIED NURSING RESEARCH, 2016, 31 : 146 - 153
  • [22] Vaginal bipolar radiofrequency as non-surgical treatment of stress urinary incontinence: Case series study
    Isaza, P. Gonzalez
    Rizo, D. L. Velez
    JOURNAL OF BIOLOGICAL REGULATORS AND HOMEOSTATIC AGENTS, 2021, 35 (01): : 271 - 274
  • [23] Recent Developments in the Surgical Management of Urinary Stress Incontinence
    Ahn, Ki Hoon
    Alvarez, Julio
    Dwyer, Peter L.
    CURRENT OBSTETRICS AND GYNECOLOGY REPORTS, 2013, 2 (03): : 147 - 158
  • [24] Recent Developments in the Surgical Management of Urinary Stress Incontinence
    Ki Hoon Ahn
    Julio Alvarez
    Peter L. Dwyer
    Current Obstetrics and Gynecology Reports, 2013, 2 (3) : 147 - 158
  • [25] Current Perspectives on Complications of Surgical Treatments for Male Stress Urinary Incontinence
    Shelton, Thomas M.
    Brimley, Scott
    Tsambarlis, Peter
    Hellstrom, Wayne J. G.
    SEXUAL MEDICINE REVIEWS, 2020, 8 (03) : 443 - 449
  • [26] Non-surgical management of faecal incontinence
    Cheetham, MJ
    Kenefick, NJ
    Kamm, MA
    HOSPITAL MEDICINE, 2001, 62 (09): : 538 - 541
  • [27] Use of in-office anesthesia during non-surgical radiofrequency collagen denaturation for stress urinary incontinence
    Wells, W. Glen
    Lenihan, John P., Jr.
    CURRENT MEDICAL RESEARCH AND OPINION, 2007, 23 (06) : 1279 - 1284
  • [28] Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence
    Leach, GE
    Dmochowski, RR
    Appell, RA
    Blaivas, JG
    Hadley, HR
    Luber, KM
    Mostwin, JL
    ODonnell, PD
    Roehrborn, CG
    JOURNAL OF UROLOGY, 1997, 158 (03): : 875 - 880
  • [30] The Questionnaire for Urinary Incontinence Diagnosis (QUID): Validity and Responsiveness to Change in Women Undergoing Non-Surgical Therapies for Treatment of Stress Predominant Urinary Incontinence
    Bradley, Catherine S.
    Rahn, David D.
    Nygaard, Ingrid E.
    Barber, Matthew D.
    Nager, Charles W.
    Kenton, Kimberly S.
    Siddiqui, Nazema Y.
    Abel, Robert B.
    Spino, Cathie
    Richter, Holly E.
    NEUROUROLOGY AND URODYNAMICS, 2010, 29 (05) : 726 - 733