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Priorities for treatment research from different professional perspectives
William E Whitehead1, Arnold Wald, Nancy J Norton
1Division of Gastroenterology and Hepatology, Center for Gastrointestinal and Motility Disorders, University of North Carolina at Chapel Hill 27599-7080, USA. william_whitehead@med.unc.edu
Gastroenterology
|February 24, 2004
Summary
Research priorities for fecal and urinary incontinence include validating current treatments with controlled trials and comparing existing therapies. New drugs and improved obstetric practices are also crucial for advancing incontinence care.
Area of Science:
- Urology
- Gastroenterology
- Geriatrics
- Psychology
- Nursing
- Colorectal Surgery
- Neurology
- Urogynecology
Background:
- A consensus conference identified research priorities for fecal and urinary incontinence treatment.
- Experts across multiple disciplines and patient advocates contributed to defining key research areas.
Framework:
- Prioritize randomized controlled trials for validating fecal incontinence treatments like biofeedback and sacral nerve stimulation.
- Compare pharmacological, behavioral, and surgical interventions for urinary incontinence.
Implementation:
- Develop new drugs targeting anal resting pressure (fecal incontinence) and hypersensitivity (urinary incontinence).
- Explore modifications in obstetric practices and patient education to reduce incontinence incidence.
- Focus on practical treatments for the elderly to prevent institutionalization.
Implications:
- Social science research can address the stigma of fecal incontinence.
- Enhance physician-patient communication regarding treatment risks and benefits.
- Advance the comprehensive treatment of fecal and urinary incontinence through targeted research.
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