Patient‐reported outcome after treatment of urinary incontinence in a multidisciplinary pelvic care clinic. (11th August 2015)

• Record Type: Journal Article
• Authors: Vrijens, Desiree MJ; Spakman, Jolanda I; van Koeveringe, Gommert A; Berghmans, Bary
• Is Part Of: International journal of urology. Volume 22:Number 11(2015)
• Page Start: 1051
• Page End: 1057
• Publication Date: 2015-08-11
• Subjects: Urology -- Periodicals; Genitourinary organs -- Periodicals; Urologic Diseases -- Periodicals; 616.6005
• DOI: 10.1111/iju.12885
• Languages: English
• ISSNs: 0919-8172

Abstract

<abstract abstract-type="main" id="iju12885-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="iju12885-sec-0001" sec-type="section"> <title>Objectives</title> <p>To assess patient‐reported outcome and satisfaction regarding urinary incontinence 1 year after the end of treatment in a multidisciplinary pelvic care clinic.</p> </sec> <sec id="iju12885-sec-0002" sec-type="section"> <title>Methods</title> <p>A total of 647 patients with urinary incontinence seen in an academic multidisciplinary pelvic care clinic were prospectively included in a specific triage system. Patient‐reported improvement of urinary incontinence and patient satisfaction were assessed by telephone survey 1 year after the end of treatment.</p> </sec> <sec id="iju12885-sec-0003" sec-type="section"> <title>Results</title> <p>Just 15.6% of patients presented with one single pelvic floor problem, most had two or three pelvic functional disorders simultaneously, such as urinary incontinence, pelvic organ prolapse and constipation or fecal incontinence. One year after the end of treatment, of 440 responders (68%), 18.2% reported no remaining complaints, and 33.4% reported only one complaint. Patients reported a significant improvement of the mean severity (scale 0–10) of urinary incontinence from 7.2 ±1.6 pretreatment (=T0) to 4.3 ± 3.0 1 year after the end of treatment (<italic>P</italic> < 0.001). A total of 20.6% of patients reported no urinary incontinence after 1 year (<italic>P</italic> < 0.001), and 27.6% (<italic>P</italic> < 0.001) stopped using incontinence pads. Patients claimed high satisfaction with the clinic and care received, with 35.8% being "satisfied" and 45.5% "very satisfied."</p> </sec> <sec id="iju12885-sec-0004" sec-type="section"> <title>Conclusion</title> <p>At 1 year after the end of treatment, one out of five patients with urinary incontinence recovered completely, and more than one out of four stopped using incontinence absorption pads. One out of three patients went from having a multifactorial health problem to a monofactorial health problem. High satisfaction rates were reported by more than four out of five patients.</p> </sec> </abstract>