Journal article
Concomitant Overactive Bladder Treatment and Adherence to Pelvic Floor Physical Therapy
INTERNATIONAL UROGYNECOLOGY JOURNAL
22 Jul 2025
PMID: 40694073
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction and Hypothesis There is limited literature regarding concomitant initiation of pelvic floor physical therapy (PFPT) and medications for overactive bladder treatment. PFPT improves patient symptoms, although adherence tends to be low. This retrospective cohort study assessed PFPT adherence of female patients with overactive bladder at a tertiary care center who were referred to PFPT. We hypothesized that concomitant PFPT and medication would correlate with decreased PFPT adherence among patients with overactive bladder. Methods Adherence to PFPT (defined as >= 50% attendance of the recommended sessions) was compared in patients with (PT + Med group) and in those without (PT group) concomitant medication prescription. Results We evaluated 346 patients, with 196 in the PT group and 150 in the PT + Med group. The PT + Med group had a higher body mass index (30.0 kg/m(2) vs 27.5 kg/m(2), p < 0.001), a higher rate of diabetes (20.7% vs 11.7%, p = 0.02), and higher urogenital distress inventory scores at baseline (p < 0.001). The PT group completed more PT sessions (p < 0.001) and was more likely to be adherent (30.6% vs 15.3%, p < 0.001). The PT + Med group was more likely to progress to minimally invasive therapy (10.0% vs 4.1%, p = 0.03). On multivariable logistic regression model, PFPT adherence remained significantly lower for the PT + Med group when controlling for comorbidities (adjusted OR 0.38, p = 0.001). Conclusions The addition of medication at the time of PFPT referral was associated with decreased PFPT adherence in overactive bladder patients.
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Details
- Title
- Concomitant Overactive Bladder Treatment and Adherence to Pelvic Floor Physical Therapy
- Creators
- Sarah Ashmore - Western Pennsylvania HospitalAbigail Steinbeck - Lake Erie CollegeNicholas Scioscia - Johns Hopkins MedicineAshlee Weaver - Western Pennsylvania HospitalJessica C. Sassani - Drexel University
- Publication Details
- INTERNATIONAL UROGYNECOLOGY JOURNAL
- Publisher
- Springer Nature
- Number of pages
- 6
- Grant note
- Highmark Health (Pittsburgh, PA, USA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Obstetrics and Gynecology
- Web of Science ID
- WOS:001533685000001
- Scopus ID
- 2-s2.0-105011139371
- Other Identifier
- 991022135716104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Urology & Nephrology