title: Perceptions and behaviours of women with bladder control problems.
abstract: OBJECTIVE
  To evaluate women's perceptions about bladder control problems.
  
  
  METHODS
  757 Women with one or more bladder control symptoms (frequency, urgency, stress or urge urinary incontinence and nocturia) participated in an Internet-based survey. A separate study involved 12 focus groups including a total of 180 women with bladder control problems.
  
  
  RESULTS
  Respondents in the survey reported multiple symptoms, e.g. stress urinary incontinence (72%), frequency (56%), nocturia (45%), urge urinary incontinence (43%) and urgency (33%). Women in both the survey and the focus groups revealed extensive use of coping mechanisms to manage their symptoms. The focus groups revealed that many women were not aware that overactive bladder (OAB) is a pathophysiological condition. Approximately 30% of respondents in the survey felt uncomfortable talking to their doctor about their condition. Among women who did speak with their doctor, stress-related symptoms were described more readily than urge-related symptoms. In the survey, only about half (56%) of the women felt their OAB medication was effective, and half (50%) stopped taking their medication at some point. Information from the focus groups suggested that some women may have unrealistic expectations of onset of efficacy or extent of benefit and may be unprepared for managing side effects.
  
  
  CONCLUSIONS
  Feelings of embarrassment and limited understanding of the pathophysiology of OAB can contribute to miscommunication between a woman and her doctor. Patient education regarding reasonable expectations coupled with suggestions for coping with unwanted side effects will likely result in better management.
authors.affiliation: Department of Urology, William Beaumont Hospital, Royal Oak, MI 48073-6710, USA. adiokno@beaumont.edu
authors.forename: Ananias C
authors.initials: AC
authors.lastname: Diokno
authors.forename: Peter K
authors.initials: PK
authors.lastname: Sand
authors.forename: Scott
authors.initials: S
authors.lastname: Macdiarmid
authors.forename: Rajul
authors.initials: R
authors.lastname: Shah
authors.forename: Robert B
authors.initials: RB
authors.lastname: Armstrong
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D010817:Physician-Patient Relations; D014481:United States; D014549:Urinary Incontinence / Q000188:drug therapy / Q000517:prevention & control / Q000523:psychology