Patient selection criteria for treatment of urinary incontinence with pelvic floor stimulation.
This article describes a comprehensive assessment used at the authors' institutions for women with urinary incontinence who want to try pelvic floor stimulation. Physiologic, cognitive, psychosocial, and affective parameters are included. There are factors in each of these areas that contribute to the success or failure of pelvic floor stimulation as a treatment. Voiding diaries and visual analog scales are used to measure baseline and treatment progress. The authors recommend a 7-day diary before treatment and continuance of a diary for 3 to 4 months. A Patient Response Chart is presented that helps patients to report severity of symptoms. Patients would objectively show a decrease in incontinence episodes. Subjective improvement should also occur because patient satisfaction and quality of life are the ultimate goals of treatment.
Sasso
K C
KC
Department of Obstetrics and Gynecology, Division of Urogynecology, Evanston Hospital Corporation, Illinois, USA.
Gallo
M
M
D004558:Electric Stimulation / Q000379:methods*; D005260:Female; D006801:Humans; D009730:Nursing Assessment; D017060:Patient Satisfaction; D018579:Patient Selection; D017773:Pelvic Floor; D011788:Quality of Life; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000628:therapy*; D014563:Urodynamics