Cost Effectiveness of Behavioral and Pelvic Floor Muscle Therapy Combined With Midurethral Sling Surgery vs Surgery Alone Among Women With Mixed Urinary Incontinence: Results of the ESTEEM Randomized Trial

2021 ◽  
Author(s):  
Heidi S. Harvie ◽  
Vivian W. Sung ◽  
Simon J. Neuwahl ◽  
Amanda A. Honeycutt ◽  
Isuzu Meyer ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Randomized Trial ◽  
Midurethral Sling ◽  
Pelvic Floor Muscle ◽  
Mixed Urinary Incontinence ◽  
Sling Surgery ◽  
Pelvic Floor Muscle Therapy ◽  
Midurethral Sling Surgery

scholarly journals Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence

JAMA ◽  
2019 ◽  
Vol 322 (11) ◽  
pp. 1066 ◽  
Author(s):  
Vivian W. Sung ◽  
Diane Borello-France ◽  
Diane K. Newman ◽  
Holly E. Richter ◽  
Emily S. Lukacz ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Mixed Urinary Incontinence ◽  
Pelvic Floor Muscle Therapy

scholarly journals Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery Versus Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence

2020 ◽  
Vol 75 (1) ◽  
pp. 25-27
Author(s):  
Vivian W. Sung ◽  
Diane Borello-France ◽  
Diane K. Newman ◽  
Holly E. Richter ◽  
Emily S. Lukacz ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Mixed Urinary Incontinence ◽  
Pelvic Floor Muscle Therapy

scholarly journals Predicting Risk of Urinary Incontinence and Adverse Events After Midurethral Sling Surgery in Women

2016 ◽  
Vol 127 (2) ◽  
pp. 330-340 ◽  
Author(s):  
J. Eric Jelovsek ◽  
Audra Jolyn Hill ◽  
Kevin M. Chagin ◽  
Michael W. Kattan ◽  
Matthew D. Barber
Keyword(s):  
Urinary Incontinence ◽  
Adverse Events ◽  
Midurethral Sling ◽  
Sling Surgery ◽  
Midurethral Sling Surgery

scholarly journals Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024152 ◽  
Author(s):  
Aileen Grant ◽  
Sarah Dean ◽  
Jean Hay-Smith ◽  
Suzanne Hagen ◽  
Doreen McClurg ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Qualitative Case Study ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Process Data

IntroductionFemale urinary incontinence (UI) is common affecting up to 45% of women. Pelvic floor muscle training (PFMT) is the first-line treatment but there is uncertainty whether intensive PFMT is better than basic PFMT for long-term symptomatic improvement. It is also unclear which factors influence women’s ability to perform PFMT long term and whether this has impacts on long-term outcomes. OPAL (optimising PFMT to achieve long-term benefits) trial examines the effectiveness and cost-effectiveness of basic PFMT versus biofeedback-mediated PFMT and this evaluation explores women’s experiences of treatment and the factors which influence effectiveness. This will provide data aiding interpretation of the trial findings; make recommendations for optimising the treatment protocol; support implementation in practice; and address gaps in the literature around long-term adherence to PFMT for women with stress or mixed UI.Methods and analysisThis evaluation comprises a longitudinal qualitative case study and process evaluation (PE). The case study aims to explore women’s experiences of treatment and adherence and the PE will explore factors influencing intervention effectiveness. The case study has a two-tailed design and will recruit 40 women, 20 from each trial group; they will be interviewed four times over 2 years. Process data will be collected from women through questionnaires at four time-points, from health professionals through checklists and interviews and by sampling 100 audio recordings of appointments. Qualitative analysis will use case study methodology (qualitative study) and the framework technique (PE) and will interrogate for similarities and differences between the trial groups regarding barriers and facilitators to adherence. Process data analyses will examine fidelity, engagement and mediating factors using descriptive and interpretative statistics.Ethics and disseminationApproval from West of Scotland Research Ethics Committee 4 (16/LO/0990). Findings will be published in journals, disseminated at conferences and through the final report.Trial registration numberISRCTN57746448.

Associations Between Childbirth and Urinary Incontinence After Midurethral Sling Surgery

2018 ◽  
Vol 73 (5) ◽  
pp. 274-275
Author(s):  
Ida Bergman ◽  
Marie Westergren Söderberg ◽  
Andrea Lundqvist ◽  
Marion Ek
Keyword(s):  
Urinary Incontinence ◽  
Midurethral Sling ◽  
Sling Surgery ◽  
Midurethral Sling Surgery
Sign in / Sign up

Export Citation Format

Share Document