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Reply by Authors.

Perhaps due in part to a longstanding history of implicit and explicit discriminatory policies in the United States, health care disparities continue to persist. Furthermore, underserved patient populations may not be offered some treatment modalities due to the misconception of poor followup or compliance. As physicians we should ensure that standard of care therapies are offered to all patients to the best of our ability. It is our hope that these findings will assist in dispelling the stereotype of poor compliance among underserved patient populations and encourage physicians to offer PTNS as indicated to all patients regardless of socioeconomic status and race. In this series we found that male gender patients also benefited. Multiple factors likely contributed to the greater than expected compliance and beneficial outcomes in this study. Grady Memorial Hospital has embraced and fully recognized its status as a tertiary care, safety net hospital and accordingly it offers financial and transportation support to patients. Another significant and underappreciated factor is the long tenured urology clinic staff whom patients have described as trustworthy and with whom a rapport has developed. Optimizing staff cultural competency and patient-staff relationships have been shown to minimize clinical trial attrition among racial minority and low income populations. We urge that discussions regarding health care disparity and equality should continue in all health care arenas.