Nonsurgical treatment of chronic idiopathic urinary retention: a scoping survey of physiotherapists' perspectives

Sarah McRae; Glenn Nielsen; Caoimhe McLoughlin; Laura McWhirter; Carolyn Davie; Natalia Vasquez; Alan Carson; Jon Stone; Ingrid Hoeritzauer

doi:10.1016/j.physio.2024.101460

Nonsurgical treatment of chronic idiopathic urinary retention: a scoping survey of physiotherapists' perspectives

Sarah McRae^*, Glenn Nielsen^*, Caoimhe McLoughlin^*, Laura McWhirter^*, Carolyn Davie^*, Natalia Vasquez^*, Alan Carson^*, Jon Stone^*, Ingrid Hoeritzauer^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied.

PURPOSE: To survey healthcare professionals exploring their experience and understanding of non-surgical treatments for chronic idiopathic urinary retention.

MATERIALS AND METHODS: An online survey was conducted using purposive sampling to include healthcare professionals who see patients with chronic idiopathic urinary retention.

RESULTS: There were 100 responses with 20/100 (20%) answering the optional "specialist" questions. Ninety percent perceived that chronic idiopathic urinary retention occurred with other conditions. Perception of recovery was poor. Only 3/20 (15%) perceived that more than half of patients improve. Non-surgical interventions included: education, pelvic floor physiotherapy, biofeedback, and tibial nerve stimulation. There were moderate to high levels of interest in treating this condition but low levels of confidence in ability. Seventy percent (70/100) perceived a lack of support from referrers and multidisciplinary colleagues.

CONCLUSIONS: Health professionals were interested in treating chronic idiopathic urinary retention and perceived that physiotherapy had something to offer this patient group. The low reported levels of confidence in ability reflects the lack of supporting literature. CONTRIBUTION OF THE PAPER.

Original language	English
Pages (from-to)	101460
Journal	Physiotherapy
Volume	127
DOIs	https://doi.org/10.1016/j.physio.2024.101460
Publication status	E-pub ahead of print - 19 Dec 2024

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title = "Nonsurgical treatment of chronic idiopathic urinary retention: a scoping survey of physiotherapists' perspectives",

abstract = "BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied.PURPOSE: To survey healthcare professionals exploring their experience and understanding of non-surgical treatments for chronic idiopathic urinary retention.MATERIALS AND METHODS: An online survey was conducted using purposive sampling to include healthcare professionals who see patients with chronic idiopathic urinary retention.RESULTS: There were 100 responses with 20/100 (20%) answering the optional {"}specialist{"} questions. Ninety percent perceived that chronic idiopathic urinary retention occurred with other conditions. Perception of recovery was poor. Only 3/20 (15%) perceived that more than half of patients improve. Non-surgical interventions included: education, pelvic floor physiotherapy, biofeedback, and tibial nerve stimulation. There were moderate to high levels of interest in treating this condition but low levels of confidence in ability. Seventy percent (70/100) perceived a lack of support from referrers and multidisciplinary colleagues.CONCLUSIONS: Health professionals were interested in treating chronic idiopathic urinary retention and perceived that physiotherapy had something to offer this patient group. The low reported levels of confidence in ability reflects the lack of supporting literature. CONTRIBUTION OF THE PAPER.",

author = "Sarah McRae and Glenn Nielsen and Caoimhe McLoughlin and Laura McWhirter and Carolyn Davie and Natalia Vasquez and Alan Carson and Jon Stone and Ingrid Hoeritzauer",

year = "2024",

month = dec,

day = "19",

doi = "10.1016/j.physio.2024.101460",

language = "English",

volume = "127",

pages = "101460",

journal = "Physiotherapy",

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TY - JOUR

T1 - Nonsurgical treatment of chronic idiopathic urinary retention

T2 - a scoping survey of physiotherapists' perspectives

AU - McRae, Sarah

AU - Nielsen, Glenn

AU - McLoughlin, Caoimhe

AU - McWhirter, Laura

AU - Davie, Carolyn

AU - Vasquez, Natalia

AU - Carson, Alan

AU - Stone, Jon

AU - Hoeritzauer, Ingrid

PY - 2024/12/19

Y1 - 2024/12/19

N2 - BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied.PURPOSE: To survey healthcare professionals exploring their experience and understanding of non-surgical treatments for chronic idiopathic urinary retention.MATERIALS AND METHODS: An online survey was conducted using purposive sampling to include healthcare professionals who see patients with chronic idiopathic urinary retention.RESULTS: There were 100 responses with 20/100 (20%) answering the optional "specialist" questions. Ninety percent perceived that chronic idiopathic urinary retention occurred with other conditions. Perception of recovery was poor. Only 3/20 (15%) perceived that more than half of patients improve. Non-surgical interventions included: education, pelvic floor physiotherapy, biofeedback, and tibial nerve stimulation. There were moderate to high levels of interest in treating this condition but low levels of confidence in ability. Seventy percent (70/100) perceived a lack of support from referrers and multidisciplinary colleagues.CONCLUSIONS: Health professionals were interested in treating chronic idiopathic urinary retention and perceived that physiotherapy had something to offer this patient group. The low reported levels of confidence in ability reflects the lack of supporting literature. CONTRIBUTION OF THE PAPER.

AB - BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied.PURPOSE: To survey healthcare professionals exploring their experience and understanding of non-surgical treatments for chronic idiopathic urinary retention.MATERIALS AND METHODS: An online survey was conducted using purposive sampling to include healthcare professionals who see patients with chronic idiopathic urinary retention.RESULTS: There were 100 responses with 20/100 (20%) answering the optional "specialist" questions. Ninety percent perceived that chronic idiopathic urinary retention occurred with other conditions. Perception of recovery was poor. Only 3/20 (15%) perceived that more than half of patients improve. Non-surgical interventions included: education, pelvic floor physiotherapy, biofeedback, and tibial nerve stimulation. There were moderate to high levels of interest in treating this condition but low levels of confidence in ability. Seventy percent (70/100) perceived a lack of support from referrers and multidisciplinary colleagues.CONCLUSIONS: Health professionals were interested in treating chronic idiopathic urinary retention and perceived that physiotherapy had something to offer this patient group. The low reported levels of confidence in ability reflects the lack of supporting literature. CONTRIBUTION OF THE PAPER.

U2 - 10.1016/j.physio.2024.101460

DO - 10.1016/j.physio.2024.101460

M3 - Article

C2 - 40009958

SN - 0031-9406

VL - 127

SP - 101460

JO - Physiotherapy

JF - Physiotherapy

ER -

Nonsurgical treatment of chronic idiopathic urinary retention: a scoping survey of physiotherapists' perspectives

Abstract

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