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Акушерство и Гинекология Санкт-Петербурга. 2018; : 53-57

Терапия недержания мочи у пациенток с пролапсом гениталий

Крутова В. А., Мелконьянц Т. Г., Тарабанова О. В., Ордокова А. А., Кравцова Н. А., Ефименко А. В.

Аннотация

Недержание мочи и пролапс гениталий не являются ургентной ситуацией, угрожающей жизни пациентки, но это патология, которая резко ограничивает социальную активность пациентки и значительно ухудшает качество жизни. Основной причиной неудовлетворенности у больных после коррекции пролапса гениталий являются нарушения мочеиспускания. Персонифицированный подход при выборе тактики лечения пациенток с пролапсом гениталий и смешанным недержанием мочи предполагает комплексную диагностику, поведенческую и медикаментозную терапию, а при отсутствии эффекта – хирургическое вмешательство.

Список литературы

1. Costantini E., Lazzeri M., Zucchi A., Di Biase M., Porena M. Long-term Efficacy of the Transobturator and Retropubic Midurethral Slings for Stress Urinary Incontinence: Single-center Update from a Randomized Controlled Trial European Urology. 2014; 66 (3): 599–601. doi:10.1016/j.eururo.2014.04.004.

2. Gtoutz A., Rosen G., Cohen A., Gold R., Lessing J. B., Gordon D. Ten-years subjective outcome results of the retropubic tension-free vaginal tape for treatment of stress urinary incontinence. J. Minim Invasive Gynec. 2011; 18 (6): 726–729. doi: http://dx.doi.org/10.1016/j.jmig.2011.07.006.

3. Novara G., Artibani W., Barder M.D., Chapple C.R., Costantini E., Ficarra V. et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in surgical treatment of female stress urinary incontinence. Eur Urol. 2010; 58 (2): 218–238. doi:10.1016/j.eururo.2010.04.022.

4. Pushkar D., Kasyan G., Gvozdev M., Sosnowski R. Analysis of 1,000 cases of synthetic midurethral slings used for treatment of female urinary incontinence – a single-center experience Cent European J Urol. 2011; 64 (4):243–51. doi: 10.5173/ceju.2011.04.art13.

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8. De Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003; 44 (6): 724–730. doi:10.1016/S1569-9056(04)90878-0.

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12. Price D.M., Noblett K. Comparison of the cough stress test and 24-h pad test in the assessment of stress urinary incontinence. Int Urogynecol J. 2012; 23 (4): 429–433. doi: 10.1007/s00192-011-1602-1.

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14. Choe J.H., Choo M.S., Lee K.S. The impact of tension-free vaginal tape on overactive bladder symptoms in women with stress urinary incontinence: significance of detrusor overactivity. J. Urol. 2008. 179: 214–219.

15. Katsumi H.K., Rutman M.P. Can we predict if overactive bladder symptoms will resolve after sling surgery in women with mixed urinary incontinence? Curr. Urol. Rep. 2010; 11 (5): 328–337.

16. Micussi M.T. The biofeedback therapy in patients with stress incontinence urinary. Nephrourol. Mon. 2012; 4 (3): 591–592. doi:10.5812/numonthly.4153.

Obstetrics and Gynaecology of Saint-Petersburg. 2018; : 53-57

Therapy of urinary incontinence in patients with genital prolapse

Krutova V. A., Melkonyants T. G., Tarabanova O. V., Ordokova A. A., Kravtsova N. A., Efimenko A. V.

Abstract

Urinary incontinence, like prolapse of the genitals, is not an urgent situation that threatens  the patient’s life, but this is a pathology  that sharply limits the patient’s social activity and significantly worsens the quality of life. The main cause of dissatisfaction in patients after correction of prolapse of the genitals are violations of urination. The personalized approach in choosing the tactics of treating patients with genital prolapse and mixed urinary incontinence suggests complex diagnostics, behavioral and drug therapy, and in the absence of effect, surgical intervention.

References

1. Costantini E., Lazzeri M., Zucchi A., Di Biase M., Porena M. Long-term Efficacy of the Transobturator and Retropubic Midurethral Slings for Stress Urinary Incontinence: Single-center Update from a Randomized Controlled Trial European Urology. 2014; 66 (3): 599–601. doi:10.1016/j.eururo.2014.04.004.

2. Gtoutz A., Rosen G., Cohen A., Gold R., Lessing J. B., Gordon D. Ten-years subjective outcome results of the retropubic tension-free vaginal tape for treatment of stress urinary incontinence. J. Minim Invasive Gynec. 2011; 18 (6): 726–729. doi: http://dx.doi.org/10.1016/j.jmig.2011.07.006.

3. Novara G., Artibani W., Barder M.D., Chapple C.R., Costantini E., Ficarra V. et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in surgical treatment of female stress urinary incontinence. Eur Urol. 2010; 58 (2): 218–238. doi:10.1016/j.eururo.2010.04.022.

4. Pushkar D., Kasyan G., Gvozdev M., Sosnowski R. Analysis of 1,000 cases of synthetic midurethral slings used for treatment of female urinary incontinence – a single-center experience Cent European J Urol. 2011; 64 (4):243–51. doi: 10.5173/ceju.2011.04.art13.

5. Balan V.E. Urogenital'nye rasstroistva v klimakterii (klinika, diagnostika, zamestitel'naya gormonoterapiya): dis. … d-ra med. nauk. M., 1998.

6. Neimark A.I., Razdorskaya M.V. Nederzhanie mochi u zhenshchin: rukovodstvo. M.: GEOTAR Media; 2013.

7. Zhang W., Song Y., He X., Huang H., Xu B., Song J. Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women. Neurourol. Urodyn. 2006; 25 (7): 717.

8. De Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003; 44 (6): 724–730. doi:10.1016/S1569-9056(04)90878-0.

9. Tchȕroff J.W., Abrams P., Schrȍder A., Andersson K.-E. et al. Klinicheskie rekomendatsii Evropeiskoi assotsiatsii urologii (European Association of Urology). 2011.

10. Klinicheskie rekomendatsii Rossiiskoi assotsiatsii urologov pod red. prof. Yu.G. Alyaeva. M. 2015.

11. Kasyan G.R., Tupikina N.V., Gvozdev M.Y., Glotov A.V., Pushkar D.Y. The prognostic value of the cough test in patients suffering from pelvic organ prolapse European Urology Supplements. 29th Annual Congress of the European Association of Urology Abstracts. 2014; 13 (1): e376. doi: 10.1016/S1569-9056(14)60371-7.

12. Price D.M., Noblett K. Comparison of the cough stress test and 24-h pad test in the assessment of stress urinary incontinence. Int Urogynecol J. 2012; 23 (4): 429–433. doi: 10.1007/s00192-011-1602-1.

13. Gvozdev M.Yu., Popov A.A., Bezhenar' V.F. i dr. Svobodnaya sinteticheskaya petlya: predvaritel'nyi analiz Rossiiskogo opyta 2002–2012 gg. Eksperimental'naya i klinicheskaya urologiya. 2012; 4.

14. Choe J.H., Choo M.S., Lee K.S. The impact of tension-free vaginal tape on overactive bladder symptoms in women with stress urinary incontinence: significance of detrusor overactivity. J. Urol. 2008. 179: 214–219.

15. Katsumi H.K., Rutman M.P. Can we predict if overactive bladder symptoms will resolve after sling surgery in women with mixed urinary incontinence? Curr. Urol. Rep. 2010; 11 (5): 328–337.

16. Micussi M.T. The biofeedback therapy in patients with stress incontinence urinary. Nephrourol. Mon. 2012; 4 (3): 591–592. doi:10.5812/numonthly.4153.