Preview

Medical alphabet

Advanced search

Treatment of micturition disorders in postpartum period

Abstract

The incontinence often occurs in the postpartum period, negatively affecting women′s quality of life. In addition to medical and surgical correction of this disease, there is a method of training the muscles of the pelvic floor with the help of biofeedback. Materials and methods. The study included 42 patients with micturition disorders in the puerperium, who were treated with biofeedback in combination with electrostimulation of the pelvic floor muscles, and 5 mg of solifenacin in OAB. Results. 39 (92.9 %) patients noted health improvement. The average maximum intraurethral pressure (Pura increased from 54.6 ± 4.2 to 72.3 ± 7.6. The cough test was negative. Analysis of visual analogue scales showed an improvement from 42.44 ± 7.39 to 81.7 ± 8.29 mm (an improvement of 49 %). Conclusions. The effectiveness of the biofeedback method in combination with electrostimulation of the pelvic floor muscles and medicine therapy was 83.3 %.

About the Authors

E. V. Tikhomirova
Moscow Regional Research Institute for Obstetrics and Gynecology
Russian Federation


V. E. Balan
Moscow Regional Research Institute for Obstetrics and Gynecology
Russian Federation


V. I. Krasnopolsky
Moscow Regional Research Institute for Obstetrics and Gynecology
Russian Federation


V. V. Ovchinnikova
Moscow Regional Research Institute for Obstetrics and Gynecology
Russian Federation


References

1. Borges J.B., Guarisi T., Camargo A.C., Gollop T.R., Machado R.B., Borges P.C. Urinary incontinence after vaginal delivery or cesarean section. Einstein (Sao Paulo). 2010 Jun; 8 (2): 192-6. doi: 10.1590/S1679-45082010А01543.

2. Population-based survey of urinary incontinence, overactive bladdetr and how are they managed? A population-based prevalence study / Irwin D.E., Milsom I., Hunskaar S., Reilly K., Kopp Z., Herschorn S., Coyne K., Kelleher C., Hampel C., Artibani W., Abrams P. // BJU Int. 2001. Vol. 87. № 9. P. 760-766.

3. Аполихина И.А. Клиническая эпидемиология, дифференциальная диагностика и консервативное лечение недержания мочи у женщин: Автореф. дис.. докт. мед. наук. М. 2006. 46 с.

4. В.Е. Балан, Л.А. Ковалева «Возрастные особенности нарушений мочеиспускания у женщин». Акушерство, гинекология. 1/2011. Стр. 72-95.

5. Riikka M. Tähtinen, Rufus Cartwright, Johnson F. Tsui, Riikka L. Aaltonen, Yoshitaka Aoki, Jovita L. Cardenas, Regina El Dib, Kirsi M. Joronen, Sumayyah Al Juaid, Sabreen Kalantan, Michal Kochana, Malgorzata Kopec, Luciane C. Lopes, Enaya Mirza, Sanna M. Oksjoki, Jori S. Pesonen, Antti Valpas, Li Wang, Yuqing Zhang, Diane Heels-Ansdell, Gordon H. Guyatt and Kari A.O. Tikkinen, Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis, European 2016 Urology, 70, 1, (148).

6. Patel R. W., Nitti V. W. Current Urology Reports // Eur. Urol. 2001. № 2. P. 379-387.

7. Guri R0rtveit and Yngvild S. Hannestad, Sammenheng mellom forl0sningsmetode og bekkenbunnssvikt, Tidsskrift for Den norske legeforening, 134, 19, 1848, 2014.

8. Ching-Hung Hsieh, Wei-Chun Chang, Tsung-Hsien Su, Tzu-Yin Lin, Meng-Chin Lee and Shao-Tung Chang, Effects of parity and mode of delivery on urinary incontinence among postmenopausal women in Taiwan, International Journal of Gynecology & Obstetrics, 117, 3, с. 239-242, 2012.

9. Véronique Filippi, Rasmané Ganaba, Clara Calvert, Susan F. Murray and Katerini T. Storeng, After surgery: the effects of life-saving caesarean sections in Burkina Faso, BMC Pregnancy and Childbirth, 15, 1, 2015.

10. Vidya Seshan and Joshua Kanaabi Muliira, Self-reported urinary incontinence and factors associated with symptom severity in community dwelling adult women: implications for women's health promotion, BMC Women’s Health, 13, 1, 2013.

11. Joshua Z. Press MD, Michael C. Klein MD, Janusz Kaczorowski PhD, Robert M. Liston MBChB, Petr Von Dadelszen Does Cesarean Section Reduce Postpartum Urinary Incontinence? A Systematic Review MBChB DPhil 2007.

12. Ромих В.В., Сивков А.В. Современные аспекты применения уродинамических исследований в урогинекологии // Consilium-medicum. 2004. Т. 6. № 7. С. 4-7.

13. Mechanical properties of implant material used in incontinence surgery. / Dietz H. P., Vancaillie P., Svehla M., Wakh W., Streensma A.B., Vancaille T.G. // International Continence Society, ICS. 2001. Abstracts. P. 98.

14. Schroder P. Abrams, K-E Andersson, C.R. Chapple. Neurogenic Lower Urinary tract Dysfunctional. Guidelines of European Urology Association. 2009. 53 p.

15. Carlson K.V., Rome S., Nitti V.W. Dysfunctional voiding in women. // J. Urology.2001. Vol. 65. P. 143-147.

16. Foote A. To push or pull? Transvaginal tape versus prolene sling II International Continence Society. ICS. 2001. Abs. 267. P. 129-131.

17. Hermieu J.F., Milcent S. Synthetic suburethral sling in the treatment of stress urinary incontinence in women II Prog. Urol. 2003. № 13. P. 636-647.

18. Kegel A. Physiologic therapy for urinary stress incontinence II J. Am. Med. Assoc. 1951. Vol. 146. P. 915-917.

19. Bo K., Larsen S., Oseid S. Knowledge about and ability to correct pelvic floor muscle exercises on women with urinary stress incontinence II Neurourol. Urodynam. 1989. № 7. P. 261-262.

20. Kegel A. Progressive resistance exercise in the functional restoration of the perineal muscles II Am J Obstet. 1948. Vol. 56. № 2. P. 242-245.

21. Assessment of Kegel pelvic muscles exercise performance after brief verbal instruction I Bump R. C., Hurt W. G., Fantl J.A., Wyman J.F. II Am. J. Obstet. Gynecol. 1991. Vol. 165. P. 322-329].

22. Moore R. D., Serels S. R., Davila G. W. Minimally invasive treatment for female stress urinary incontinence II Surg Technol Int. 2009. № 18. P. 157-173.

23. Burgio K.L., Goode P.S., Locher J.L., Umlauf M.G., Roth D.L., Richter H.E., Varner R.E., Lloyd L.K. II Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA. 2002. Vol. 288. P. 2293-2299.


Review

For citations:


Tikhomirova E.V., Balan V.E., Krasnopolsky V.I., Ovchinnikova V.V. Treatment of micturition disorders in postpartum period. Medical alphabet. 2018;3(22):31. (In Russ.)

Views: 258


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)