• Dr. Markland is an Associate Professor of Medicine in the Division of Gerontology, Geriatrics, and Palliative Care at the University of Alabama at Birmingham (UAB) in Birmingham, Alabama. She is also a clinician researcher at the Birmingham VA Medical Center and the Associate Director of Clinical Programs in the Birmingham/Atlanta Geriatric Research, Education, and Clinic Center (GRECC). Her overarching goal is to enhance evidenced-based knowledge regarding the treatment of genito-urinary disorders, including urinary incontinence, fecal incontinence, and lower urinary tract symptoms in women and men. She currently is the medical director of the multidisciplinary Continence Clinic at the Birmingham VA Medical Center and practices at the National Association For Continence’s Center of Excellence for Continence Care at UAB. She is an active Co-Investigator for two NIH-funded multi-center trial networks, the Pelvic Floor Disorders Network and the Prevention of Lower Urinary Tract Symptoms Consortium.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2020 Vitamin D intake and the 10-year risk of urgency urinary incontinence in women 2020
    2020 Applying concepts of life course theory and life course epidemiology to the study of bladder health and lower urinary tract symptoms among girls and women 2020
    2020 Diet Modifications in Older Women With Fecal Incontinence: A Qualitative Study 2020
    2020 Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis 2020
    2020 Effectiveness of Combined Behavioral and Drug Therapy for Overactive Bladder Symptoms in Men: A Randomized Clinical Trial 2020
    2020 The Impact of Nocturia on Mortality: A Systematic Review and Meta-Analysis 2020
    2020 Urinary incontinence inwomen 2020
    2020 Normative noninvasive bladder function measurements in healthy women: A systematic review and meta-analysis 2020
    2020 A mobile telehealth program for behavioral treatment of urinary incontinence in women veterans: Development and pilot evaluation of MyHealtheBladder 2020
    2020 Accidental Bowel Leakage Evaluation: A New Patient-Centered Validated Measure of Accidental Bowel Leakage Symptoms in Women 2020
    2020 Development of Conceptual Models to Guide Public Health Research, Practice, and Policy: Synthesizing Traditional and Contemporary Paradigms 2020
    2020 Laying the Foundation for Bladder Health Promotion in Women and Girls 2020
    2020 Outcomes of native tissue transvaginal apical approaches in women with advanced pelvic organ prolapse and stress urinary incontinence 2020
    2020 Pelvic floor disorder symptoms and bone strength in postmenopausal women 2020
    2019 Editorial Comment 2019
    2019 Sacral neuromodulation versus onabotulinumtoxinA for refractory urgency urinary incontinence: impact on fecal incontinence symptoms and sexual function 2019
    2019 Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial 2019
    2019 U.S. adolescent and adultwomen’s experiences accessing and using toilets in schools, workplaces, and public spaces: A multi-site focus group study to inform future research in bladder health 2019
    2019 Behavioral therapy for urinary symptoms in Parkinson's disease: A randomized clinical trial 2019
    2019 Fecal Incontinence Symptoms and Impact in Older Versus Younger Women Seeking Care 2019
    2019 Reply to: “Suggestions for Vitamin D Supplementation for Urgency Urinary Incontinence Study” 2019
    2019 The Spectrum of Bladder Health: The Relationship between Lower Urinary Tract Symptoms and Interference with Activities 2019
    2019 An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department 2019
    2019 Association of Urinary Phytoestrogens With Pelvic Organ Prolapse and Fecal Incontinence Symptoms in Postmenopausal Women 2019
    2019 Comparing Vitamin D Supplementation Versus Placebo for Urgency Urinary Incontinence: A Pilot Study 2019
    2018 Cluster analysis of multiple chronic conditions associated with urinary incontinence among women in the USA 2018
    2018 Occupation and lower urinary tract symptoms in women: A rapid review and meta-analysis from the PLUS research consortium 2018
    2018 Palliative Care and Hospice Interventions in Decompensated Cirrhosis and Hepatocellular Carcinoma: A Rapid Review of Literature 2018
    2018 A review of phytoestrogens and their association with pelvic floor conditions 2018
    2018 Increased odds of bladder and bowel symptoms in early Parkinson's disease 2018
    2018 Report and Research Agenda of the American Geriatrics Society and National Institute on Aging Bedside-to-Bench Conference on Urinary Incontinence in Older Adults: A Translational Research Agenda for a Complex Geriatric Syndrome 2018
    2018 Impact of New Medications and $4 Generic Programs on Overactive Bladder Treatment among Older Adults in the United States, 2000-2015 2018
    2018 Refractory urgency urinary incontinence treatment in women: impact of age on outcomes and complications 2018
    2018 Urinary incontinence and hydration: A population-based analysis 2018
    2017 Nocturia is Associated with Poor Sleep Quality Among Older Women in the Study of Osteoporotic Fractures 2017
    2017 Perioperative behavioral therapy and pelvic muscle strengthening do not enhance quality of life after pelvic surgery: Secondary report of a randomized controlled trial 2017
    2017 Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women with Pelvic Floor Disorders 2017
    2017 Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED) 2017
    2017 Nonsurgical Management of Urinary Incontinence in Older Women 2017
    2017 Improving geriatric prescribing in the ED: a qualitative study of facilitators and barriers to clinical decision support tool use 2017
    2017 The relationship between fecal incontinence, constipation and defecatory symptoms in women with pelvic floor disorders 2017
    2017 Improving biofeedback for the treatment of fecal incontinence in women: implementation of a standardized multi-site manometric biofeedback protocol 2017
    2017 Irritable bowel syndrome and quality of life in women with fecal incontinence 2017
    2017 Psychometric evaluation of an online and paper accidental bowel leakage questionnaire: The ICIQ-B questionnaire 2017
    2016 Differences in the Association of Nocturia and Functional Outcomes of Sleep by Age and Gender: A Cross-sectional, Population-based Study 2016
    2016 Pilot Results from a Randomized Trial in Men Comparing Alpha-Adrenergic Antagonist versus Behavior and Exercise for Nocturia and Sleep 2016
    2016 Shared Risk Factors for Constipation, Fecal Incontinence, and Combined Symptoms in Older U.S. Adults 2016
    2016 Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial 2016
    2016 The association between Vitamin D and urinary incontinence 2016
    2016 Vitamin D and incident urinary incontinence in older adults 2016
    2016 Incidence and Remission of Nocturia: A Systematic Review and Meta-analysis 2016
    2016 Complications of indwelling urinary catheter care and care transitions a teachable moment 2016
    2016 Implementing the EQUiPPED Medication Management Program at 5 VA Emergency Departments. 2016
    2016 Anal intercourse and fecal incontinence: Evidence from the 2009-2010 national health and nutrition examination survey 2016
    2016 Impact of clinical pharmacy specialists on the design and implementation of a quality improvement initiative to decrease inappropriate medications in a veterans affairs emergency department 2016
    2015 Factors associated with fecal incontinence in a nationally representative sample of diabetic women 2015
    2015 Controlling anal incontinence in women by performing anal exercises with biofeedback or loperamide (CAPABLe) trial: Design and methods 2015
    2015 Postoperative bowel function, symptoms, and habits in women after vaginal reconstructive surgery 2015
    2015 Urinary incontinence in frail elderly persons: Report from the 5th international consultation on incontinence 2015
    2015 Urinary, fecal, and dual incontinence in older U.S. adults 2015
    2015 Enhancing the quality of prescribing practices for older veterans discharged from the emergency department (EQUiPPED): Preliminary results from enhancing quality of prescribing practices for older veterans discharged from the emergency department, a novel multicomponent interdisciplinary quality improvement initiative 2015
    2015 Epidemiology, pathophysiology, and classification of fecal incontinence: State of the Science Summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop 2015
    2015 Loperamide Versus Psyllium Fiber for Treatment of Fecal Incontinence: The Fecal Incontinence Prescription (Rx) Management (FIRM) Randomized Clinical Trial 2015
    2015 Vitamin D deficiency is associated with increased fecal incontinence symptoms 2015
    2014 Vitamin D deficiency is associated with increased fecal incontinence symptoms 2014
    2014 Life Space Assessment in Older Women Undergoing Non-Surgical Treatment for Urinary Incontinence. 2014
    2014 Findings of universal cystoscopy at incontinence surgery and their sequelae 2014
    2014 Prevalence and trends of symptomatic pelvic floor disorders in U.S. women 2014
    2014 Bowel preparation before vaginal prolapse surgery a randomized controlled trial 2014
    2014 Bowel preparation before vaginal prolapse surgery: A randomized controlled trial 2014
    2014 Military exposure and urinary incontinence among American men 2014
    2014 Minimum important differences for scales assessing symptom severity and quality of life in patients with fecal incontinence 2014
    2014 Surgical preparation: Are patients "ready" for stress urinary incontinence surgery 2014
    2014 Symptom outcomes important to women with anal incontinence: A conceptual framework 2014
    2014 The fluctuation of nocturia in men with lower urinary tract symptoms allocated to placebo during a 12-month randomized, controlled trial 2014
    2013 Efficacy of adding behavioural treatment or antimuscarinic drug therapy to α-blocker therapy in men with nocturia 2013
    2013 Caffeine and urinary incontinence in US women: Editorial comment 2013
    2013 Association of low dietary intake of fiber and liquids with constipation: Evidence from the national health and nutrition examination survey 2013
    2013 Patient satisfaction after midurethral sling surgery for stress urinary incontinence 2013
    2013 Impact of obesity on urinary storage symptoms: Results from the FINNO study 2013
    2013 Caffeine and urinary incontinence in US women 2013
    2013 Caffeine intake and its association with urinary incontinence in United States men: Results from national health and nutrition examination surveys 2005-2006 and 2007-2008 2013
    2012 Vitamin D status in women with pelvic floor disorder symptoms 2012
    2012 Condition-specific quality of life 24 months after retropubic and transobturator sling surgery for stress urinary incontinence 2012
    2012 A randomized trial of urodynamic testing before stress-incontinence surgery 2012
    2011 Behavioral versus drug treatment for overactive bladder in men: The male overactive bladder treatment in veterans (MOTIVE) trial 2011
    2011 Changes in urodynamic measures two years after burch colposuspension or autologous sling surgery 2011
    2011 Minimum important difference for validated instruments in women with urge incontinence 2011
    2011 Prevalence and effect on health-related quality of life of overactive bladder in older americans: Results from the epidemiology of lower urinary tract symptoms study 2011
    2011 Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008 2011
    2011 Urinary incontinence in older adults 2011
    2011 Incontinence 2011
    2011 Further validation of the short form versions of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ). 2011
    2011 Prevalence of nocturia in United States men: Results from the national health and nutrition examination survey 2011
    2011 The authors reply 2011
    2011 Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: A randomized controlled trial 2011
    2011 Anal sphincter repair for fecal incontinence: Effect on symptom severity, quality of life, and anal sphincter squeeze pressures 2011
    2011 Response letter to Dr. Lisi 2011
    2011 Risk factors for urinary tract infection following incontinence surgery 2011
    2011 Vitamin D and lower urinary tract symptoms among Us men: Results from the 2005-2006 national health and nutrition examination survey 2011
    2011 Weight loss improves fecal incontinence severity in overweight and obese women with urinary incontinence 2011
    2010 Adherence to behavioral interventions for urge incontinence when combined with drug therapy: Adherence rates, barriers, and predictors 2010
    2010 Author response 2010
    2010 Prevalence of urinary incontinence in men: Results from the national health and nutrition examination survey 2010
    2010 Factors impacting quality of life in women with fecal incontinence 2010
    2010 Incidence and risk factors for fecal incontinence in black and white older adults: A population-based study 2010
    2010 Combined behavioral and individualized drug therapy versus individualized drug therapy alone for urge urinary incontinence in women 2010
    2010 Incontinence in older women 2010
    2010 Symptoms of combined prolapse and urinary incontinence in large surgical cohorts 2010
    2010 Effects of colpocleisis on bowel symptoms among women with severe pelvic organ prolapse 2010
    2010 Prevalence and correlates of nocturia in community-dwelling older adults 2010
    2009 Life-space assessment in urogynecology and gynecological oncology surgery patients: A measure of perioperative mobility and function 2009
    2009 Design of the Value of Urodynamic Evaluation (ValUE) trial: A non-inferiority randomized trial of preoperative urodynamic investigations 2009
    2009 Association of diuretic use and overactive bladder syndrome in older adults: A propensity score analysis 2009
    2009 Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial - Design and methods 2009
    2009 Associated factors and the impact of fecal incontinence in women with urge urinary incontinence: from the Urinary Incontinence Treatment Network's Behavior Enhances Drug Reduction of Incontinence study 2009
    2009 Urinary incontinence in community-dwelling older Mexican American and European American women 2009
    2009 Fecal incontinence in obese women with urinary incontinence: prevalence and role of dietary fiber intake 2009
    2008 Prolapse and Incontinence Surgery in Older Women 2008
    2008 UIJ - Predictors of fecal incontinence in women with urge urinary incontinence: From the urinary incontinence treatment network's BEDRI study 2008
    2008 UIJ - Prevalence and risk factors of fecal incontinence in women undergoing stress incontinence surgery 2008
    2008 UIJ - Race/ethnic differences in symptoms and impacts of urinary incontinence in women undergoing stress incontinence surgery 2008
    2008 Population Based Study of Incidence and Predictors of Urinary Incontinence in Black and White Older Adults 2008
    2008 Correlates of urinary, fecal, and dual incontinence in older African-American and white men and women 2008
    2008 Outcomes of combination treatment of fecal incontinence in women 2008
    2007 Burch colposuspension versus fascial sling to reduce urinary stress incontinence 2007
    2007 Lack of Disparity in Lower Urinary Tract Symptom Severity Between Community-Dwelling Non-Hispanic White, Mexican-American, and African-American Men 2007
    2007 Prevalence and risk factors of fecal incontinence in women undergoing stress incontinence surgery 2007
    2007 Race and ethnicity do not contribute to differences in preoperative urinary incontinence severity or symptom bother in women who undergo stress incontinence surgery 2007
    2005 Factors associated with incontinence frequency in a surgical cohort of stress incontinent women 2005
    Gastrointestinal Aging


    Year Title Altmetric
    2014 Urinary incontinence: Nonsurgical treatments.  141-168. 2014
    2013 Urinary tract infections in older adults.  207-222. 2013

    Research Overview

  • Bladder health
    Bowel health
    Urinary incontinence
    Lower urinary tract symptoms in men and women
    Pelvic floor disorders, bowel symptoms including constipation and fecal incontinence
  • Education And Training

  • Doctor of Osteopathy in Osteopathic Medicine / Osteopathy, University of North Texas Health Science Center 1998
  • University of California - Davis, Internship 1999
  • University of California - Davis, Residency 2001
  • University of Texas Health Science Center, Postdoctoral Fellowship 2005
  • Full Name

  • Alayne Markland