Preference, Compliance and Initial Outcome of... : Journal of Urology (original) (raw)

Clinical Urology: Original Article

Preference, Compliance and Initial Outcome of Therapeutic Options Chosen by Female Patients with Urinary Incontinence

Ananias Diokno
Manuel Yuhico

Journal of Urology

154

(

)

1727

1730

November 1995

Purpose

We determined the patient preference for, compliance with and initial outcome of either behavioral modification, pharmacotherapy or surgery for urinary incontinence.

Materials and Methods

A total of 150 incontinent women underwent basic evaluation based on Agency for Health Care Policy and Research urinary incontinence guidelines. Options were presented and the chosen modality was evaluated at 4 to 6-week intervals.

Results

Of the patients 61 percent chose behavioral modification, 25 percent chose pharmacotherapy and 14 percent chose surgery. The dropout rate was 33 percent (50 of 150 women), including mostly those on behavioral modification. Of the remaining patients 74 percent on pharmacotherapy and 73 percent on behavioral modification reported marked improvement.

Conclusions

When given options, patients chose nonoperative measures first. Compliance was poor among patients who chose behavioral modification.