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San Francisco Day School Board of Directors
Pacific Primary School
My multidisciplinary research program is focused on lower urinary tract function and genitourinary health in women, including (1) the effect of weight loss and physical activity on urinary incontinence (UI) and overactive bladder (OAB), (2) epidemiology of female lower urinary tract and pelvic floor disorders (UI, OAB, pelvic organ prolapse, sexual dysfunction, and fecal incontinence), (3) the association of race/ethnicity with pelvic floor disorders and their treatment, (4) development of novel treatments for UI (weight loss, yoga, slow-paced respiration, mobile health app delivery), and (5) economics, health-related quality of life, and cost-effectiveness of treatments for pelvic floor disorders.
Lessening Incontinence Through Low-impact Activity
The LILA study is a pilot randomized parallel-group trial of a group-based yoga therapy
program versus physical conditionin control program for treatment of urinary incontinence in
ambulatory middle-aged and older women. Women aged 50 years and older who meet the criteria
for frequency of incontinence episodes, are not using other clinical treatments for
incontinence, and meet minimum physical mobility requirements and other eligibility criteria
will be recruited from the general San Francisco Bay Area.
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A Group-Based Therapeutic Yoga Intervention for Urinary Incontinence in Ambulatory Older Women
The investigators will conduct a randomized controlled trial to evaluate the efficacy of a
group-based yoga intervention to decrease the frequency and impact of urinary incontinence in
ambulatory middle-aged and older women and explore potential mediators of improvement in
outcomes. Women aged 45 years and older who report daily or more frequent stress-, urgency-,
or mixed-type incontinence, are not already engaged in formal yoga or muscle
stretching/strengthening programs, are willing to temporarily forgo other clinical treatments
for incontinence, are able to walk to and use the bathroom without assistance, and meet other
eligibility criteria will be recruited from multiple locations surrounding the San Francisco