Mp23-07 Pilot Study of Novel Online Comprehensive Pelvic Floor Program in the Treatment of Urinary Incontinence in Women

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence (MP23)1 May 2024MP23-07 PILOT STUDY OF NOVEL ONLINE COMPREHENSIVE PELVIC FLOOR PROGRAM IN THE TREATMENT OF URINARY INCONTINENCE IN WOMEN Katherina Y. Chen, Marieke K. Jones, Jacqueline M. Zillioux, and David E. Rapp Katherina Y. ChenKatherina Y. Chen , Marieke K. JonesMarieke K. Jones , Jacqueline M. ZilliouxJacqueline M. Zillioux , and David E. RappDavid E. Rapp View All Author Informationhttps://doi.org/10.1097/01.JU.0001008776.99097.8a.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) is common in women and has a vast impact on quality of life (QOL), financial health, and work disability. Robust evidence demonstrates the efficacy and minimal risk of comprehensive conservative therapy (pelvic floor muscle training (PFMT), behavioral and dietary modification) in the treatment of UI. However, numerous barriers impede access to this care, including limited availability of specialized therapists, financial barriers (co-pays), and scheduling obstacles. To address these barriers, we developed a novel online UI program (oPFP) (PFMT, behavioral and dietary modification). METHODS: We performed a prospective study assessing continence and QOL outcomes in women with SUI, UUI, or MUI treated with oPFP between 05/2019 and 11/2022. Patients with prior history of anti-incontinence surgery or>1 prior pharmacotherapy trial were excluded. Outcomes were assessed at baseline and following completion of the 2-month program using the validated ICIQ-FLUTS, UPS, IIQ-7 questionnaires, and 24-hour bladder diary. Data were analyzed using linear or Poisson mixed models or generalized estimating equations to allow for missing data and account for pairing over time. RESULTS: 28 women (2 SUI, 3 UUI, 23 MUI) were enrolled with 9 (0 SUI, 1 UUI, 8 MUI) lost to follow-up. Comprehensive outcomes are shown in Table 1. Following oPFP, participants showed significantly improved SUI domain scores (3.04±0.19 vs 1.81±0.23, p<0.001), UPS reason score (2.52±0.18 vs 2.05±0.14, p=0.003), IIQ-7 sum scores (5.16±0.88 vs 3.07±0.70, p=0.038), and daily incontinence episodes (2.96±0.60 vs 1.06±0.29, p<0.001). Mean patient-reported improvement was 5.4±2.5 (10-point Likert scale). Of respondents, 89% reported program satisfaction, ease of use, and would recommend the program to others. CONCLUSIONS: oPFP results in significant improvements to a variety of UI and QOL measures. Our program provides an important UI treatment option and gives women greater access to effective conservative therapy. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e384 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Katherina Y. Chen More articles by this author Marieke K. Jones More articles by this author Jacqueline M. Zillioux More articles by this author David E. Rapp More articles by this author Expand All Advertisement PDF downloadLoading ...