Beaumont Health System receives $3.9 million for urinary incontinence research


Beaumont Health System has been awarded a $3.9 million urology research grant from the National Institute of Aging. Ananias Diokno, M.D., Beaumont's retired chief medical officer, is the principal investigator for this multicenter project called Group Learning to Accomplish Decreased Incidents of Lower Urinary Symptoms, or GLADIOLUS.

The study will compare the clinical and cost-effectiveness of a group-administered treatment program to no treatment in older women with urinary incontinence.

The multimillion dollar three-year grant began Sept. 1.

"This study involves a novel intervention to treat urinary incontinence that has the potential for treating large groups of incontinent older women throughout the United States, including those with limited access to health care resources," says Dr. Diokno. "Urinary incontinence is one of the three chronic health conditions that have the greatest effect on a woman's health-related quality of life. More than one in three adult U.S. women has UI."

Although there are several therapeutic options available for urinary incontinence, behavioral treatments are recommended by most evidence-based guidelines as an initial approach to treatment. Behavioral treatments are usually delivered in individualized visits in medical offices, but a group session model-of-care delivery has not been applied and tested in a large-scale multicenter study.

"Group-administered behavioral treatment programs have the potential to reach a larger population of older women with urinary incontinence," says Dr. Diokno. "Offering the intervention in community-based settings may help identify more cases of urinary incontinence; raise awareness in the community of the condition and treatment options available; and improve adherence to treatment."

Staff at Beaumont Hospital, Royal Oak will provide administrative support for the study. The Beaumont Research Coordinating Center will manage regulatory, site monitoring and data management services. Other GLADIOLUS clinical sites include the University of Michigan, the University of Alabama at Birmingham and the University of Pennsylvania.

About Beaumont Urology
Beaumont urologists offer endoscopic, robotic and laparoscopic surgical options as well as traditional surgeries. They also specialize in treatment for kidney stones; painful bladder conditions such as overactive bladder and incontinence; sexual dysfunction; urologic cancer; prostate conditions; male infertility; voiding dysfunction; and erectile dysfunction. In 2010, Beaumont opened a Women's Urology Center, the first center in the Midwest dedicated and designed for women's urological care and sexual dysfunction. Beaumont, Royal Oak is ranked on U.S. News and World Report's "America's Best Hospitals" list for urology. Find out more at