Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Atlanta VA Medical Center
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Clinical diagnosis of Parkinson's disease determined by a board-certified neurologist with specialty training in movement disorders
≥ 4 weekly episodes of UI and at least one episode per week associated with feelings of urgency, where urgency is defined as the complaint of a sudden compelling desire to void which is difficult to defer
Willingness to attend clinic visits
Willingness to keep 7-day bladder diaries throughout the study period
You may not be if
Significant cognitive impairment, as indicated by a Montreal Cognitive Assessment (MoCA) score of \< 18.
Inability to produce an interpretable 7-day bladder diary at baseline
Previous intensive PFME training
Clinically significant depression as measured by a Geriatric Depression Scale-Short Form score ≥ 10 which could affect motivation to fully engage in the intervention
Use of an indwelling urinary catheter
Bladder outlet obstruction defined as having been prescribed in-and-out catheterization in the past 12 months, having a post-void residual urine volume by bladder ultrasound of ≥ 200 mL or a peak voiding flow rate of ≤ 4 mL/min on a void ≥ 125 mL in volume
Severe uterine prolapse past the vaginal introitus
Poorly controlled diabetes defined by a hemoglobin A1c (HgbA1c) of \>8.0%
Chronic renal failure and on hemodialysis
Poorly controlled congestive heart failure or poorly controlled chronic obstructive pulmonary disease on physical exam
Genitourinary cancer with ongoing surgical or external beam radiation treatment
Any unstable health condition expected to result in hospitalization or death within in the next 3 months as determined by principal investigator.