title: Preference, compliance and initial outcome of therapeutic options chosen by female patients with urinary incontinence.
abstract: OBJECTIVE
  We determined the patient preference for, compliance with and initial outcome of either behavioral modification, pharmacotherapy or surgery for urinary incontinence.
  
  
  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% chose behavioral modification, 25% chose pharmacotherapy and 14% chose surgery. The dropout rate was 33% (50 of 150 women), including mostly those on behavioral modification. Of the remaining patients 74% on pharmacotherapy and 73% on behavioral modification reported marked improvement.
  
  
  CONCLUSIONS
  When given options, patients chose nonoperative measures first. Compliance was poor among patients who chose behavioral modification.
authors.affiliation: Department of Urology, William Beaumont Hospital-Royal Oak, Michigan.
authors.forename: A
authors.initials: A
authors.lastname: Diokno
authors.forename: M
authors.initials: M
authors.lastname: Yuhico
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000523:psychology / Q000628:therapy*