From the Editor

From the Desk of the Editor - “Discouraged patients, frustrated clinician!”

Diane K. Newman
April 20, 2018

I want to share with you the story of my approach to two of my patients being seen for overactive bladder symptoms of urgency and frequency during the day and night. I thought you might be interested in their stories as what I found to be successful treatments were not an approach often recommended. Their symptoms had defied most treatments.

The first patient was James, a 74-year-old man who was referred for Percutaneous tibial nerve stimulation (PTNS) treatments, having failed 2 injections of Botox and multiple overactive bladder (OAB) medications. He had refused an Interstim implant. James was tolerating his


diane k newman

Diane K. Newman, DNP, ANP-BC, FAAN

Diane K. Newman, DNP, ANP-BC, FAAN is an Adjunct Professor of Urology in Surgery, Perelman School of Medicine, University of Pennsylvania. She is Co-Director of the Penn Center for Continence and Pelvic Health, Division of Urology, University of Pennsylvania Medical Center, in Philadelphia.   She completed her masters in nursing at the University of Pennsylvania and the Doctorate of Nursing Practice at Thomas Jefferson University, both in Philadelphia.  Dr Newman is a clinician and researcher.  She has over 30 years’ experience practicing as a urology nurse practitioner.  Her practice involves the evaluation, treatment, and management of urinary incontinence including the use of biofeedback for pelvic floor disorders and catheters and other devices in the management of bladder dysfunction.  She has expertise in clinical trials and patient reported outcome measures as well as, incorporating patient preferences and beliefs into clinical decision making.  She is the author of several books.  The most recent is as lead editor of the 1st edition of the Society of Urologic Nurses and Associates Core Curriculum for Urologic Nursing and of Clinical Application of Urologic Catheters, Devices and Products.

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