Electromyographic monitoring of the effectiveness of complex treatment of patients with hyperactive bladder and hypokinetic tone detrusora and combined neurogenic pathology of the distal colon

2017 ◽  
pp. 78-80
Author(s):  
P.V. Chabanov ◽  
Keyword(s):  
Urinary Tract ◽  
Conservative Treatment ◽  
Key Words ◽  
Functional State ◽  
Distal Colon ◽  
Detrusor Muscle ◽  
Complex Treatment ◽  
Results Of Treatment ◽  
Neurogenic Disorders

The objective: was to increase the effectiveness of treatment of patients with a hyperactive bladder and hypokinetic tone of detrusor (muscle – urine ejector) and combined neurogenic pathology of the distal colon. Materials and methods. Complex diagnostics and conservative treatment of patients with hyperactive bladder and hypokinetic tone of detrusor and combined pathology of the distal colon were performed in 36 (53%) women and 32 (47%) men. The average age of women was 43.4±2.1 years, men – 39.8± .9 years. The duration of the disease in women was 19.7±1.5 months, in men – 22.4±1.8 months. Efficacy was assessed by electromyography. Results. It has been established that electromyography reflects the functional state of the urinary tract and distal parts of the colon at their combined pathology. Conservative treatment of patients of this category with the help of stimulation by electro stimulation was effective. Conclusion. Complex conservative treatment of patients with a hyperactive bladder and hypotonic tonus detrusor and combined pathology of the distal colon is effective, which is confirmed by electromyographic control according to the results of treatment. Key words: neurogenic disorders of urination, detrusor, electromyography.

Treatment of patients with hyperactive bladder, hypokinetic tonus detrusor and combined neurogenic pathology of the distal colon

2017 ◽  
pp. 66-69
Author(s):  
P.V. Chabanov ◽  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Distal Colon ◽  
Bowel Dysfunction ◽  
Detrusor Muscle ◽  
X Ray ◽  
Results Of Treatment ◽  
Neurogenic Disorders ◽  
Neurogenic Bowel ◽  
Lower Urinary

The article presents the results of treatment of patients with hyperactive bladder with hypokinetic detrusor tone and combined neurogenic pathology of the distal colon. The objective: to increase the effectiveness of treatment of patients with hyperactive bladder, hyperkinetic tonus of detrusor (muscle - urine ejector) and combined neurogenic pathology of the distal colon. Patients and methods. Complex diagnostics and conservative treatment was conducted in patients with hyperactive bladder, hypotonic tonus of detrusor and combined pathology of the distal colon (36 (53%) women and 32 (47%) men). The average age of women was 43.4 ±2.1 years, men – 39.8±1.9 years. The average duration of the disease in women was 19.7±1.5 months and 22.4±1.8 months for men. Results. After the completion of six courses of treatment, the improvement in the condition of patients was noted in the group of men. It was noted that polukiasis decreased to 7.9±1.1 times a day (68.4%, p<0.001), nocturia to 1.5±0.1 times (80%, p<0.02), mandatory desires – up to 2.3±0.1 times a day (87%, р <0.02), urinary incontinence - up to 1.1±0.1 times (63.6%, р<0.05). After the completion of the six courses of treatment, the group recorded a significant improvement in both the clinical and laboratory results of electromyography (EMG) and UFS patients. It was noted that polukiuria decreased to 8.2±0.9 times a day (76.8%, p<0.02), nocturia 1.7±0.01 times (88.2%, p<0.001), the number of mandatory urges decreased to 2.4±0.1 times a day (87.5%, p <0.001), urinary incontinence – up to 1.5±0.1 times (80%, p<0.001). The conclusion. To exclude organic diseases of the kidneys, urinary tract, digestive tract and central nervous system of man, in which the neurogenic pathology of the lower urinary tract and distal colon is diagnosed, should be comprehensively examined with the help of urological, neurological, x-ray, electromyography, urodynamic methods. Key words: neurogenic disorders of urination, neurogenic bowel dysfunction, detrusor, uroflowmetry, electromyography.

The relationship between detrusor state and tone of the large intestine and their sphincter apparatus in women with hyperactive urinary bladder

2017 ◽  
pp. 32-34
Author(s):  
S.A. Vozianov ◽  
◽  
M.P. Zakharash ◽  
Yu.M. Zakharash ◽  
N.A. Sevast'yanova ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Bladder ◽  
Large Intestine ◽  
Lower Urinary Tract ◽  
High Efficiency ◽  
Clinical Manifestations ◽  
Distal Colon ◽  
Neurogenic Disorders ◽  
Neurogenic Dysfunction ◽  
Lower Urinary

The objective: increase the effectiveness of diagnosis and treatment of women with a hyperactive bladder, combined neurogenic pathology of the lower urinary tract and distal colon. Patients and methods. The study included 73 women. In assessing the symptoms of clinical manifestations and EMG and UFS data, two groups of patients were identified: the first group – women with increased tone of the neuro-muscular structures of the hyperkinetic type; the second group - women with an increased tone of the neuromuscular structures of the hypokinetic type. In the first group, 37 women were examined, whose mean age was 44.5±2.3 years, and the duration of the disease was 16.7±1.6 months. The second group included 36 women, whose average age was 43.4±2.1 years, and the average duration of the disease was 19.7±1.5 months. Results. The performed treatment showed clinically high efficiency of electrostimulation application depending on the state of the tone of the neuromuscular structures of the lower urinary tract and the distal part of the large intestine, which is confirmed by the data of UFS and EMG. Conclusion. The obtained data allowed to develop and optimize methods of treatment of women with hyperactive urinary bladder with a combined neurogenic pathology of the lower urinary tract and distal division of the large intestine. Key words: neurogenic disorders in urination, intestine neurogenic dysfunction, detrusor, uroflowmetry, electromyography.

Assessment of uroflowmetry indices in the diagnosis and treatment of patients with combined neurogenic pathology of the lower urinary tract and the distal part of the large intestine

2017 ◽  
pp. 48-50
Author(s):  
S.O. Vozianov ◽  
◽  
M.P. Zakharash ◽  
P.V. Chabanov ◽  
Yu.M. Zakharash ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Large Intestine ◽  
Lower Urinary Tract ◽  
Distal Part ◽  
Distal Colon ◽  
Bowel Dysfunction ◽  
Diagnostic Methods ◽  
Results Of Treatment ◽  
Urodynamic Studies ◽  
Lower Urinary

The article presents the results of treatment of patients with combined neurogenic pathology of the lower urinary tract and the distal part of the large intestine. The objective: increase the effectiveness of treatment for women with combined neurogenic pathology of the lower urinary tract and distal colon. Materials and methods. All patients with combined neurogenic pathology of the lower parts of the urinary system and lower colon were examined comprehensively using both conventional and special diagnostic methods. The study group included 30 women, whose average age was 41.8±2.1 years, the average duration of the disease was 18.4 ± 1.6 months. Efficacy was assessed using clinical and urodynamic studies. Results. The obtained results were the basis for substantiating the principles of differentiated treatment of patients with combined neurogenic pathology of the lower urinary tract and distal colon, which allowed to increase the effectiveness of treatment. Conclusions. The above data of clinical and urodynamic studies allowed to develop and optimize the methods of treatment depending on the state of the tone of the neuromuscular structures of the lower urinary tract and the distal parts of the large intestine. Key words: neurogenic disorders of urination, neurogenic bowel dysfunction, detrusor, uroflowmetry, electrostimulation.

scholarly journals Surgical intervention in the complex treatment of patients with nonunion of the tibia

2018 ◽  
Vol 27 (3) ◽  
pp. 33-38
Author(s):  
O. Bebykh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Surgical Intervention ◽  
Plastic Material ◽  
Complex Treatment ◽  
Fibrin Matrix ◽  
Results Of Treatment ◽  
Vitamin Therapy

The work presents the results of treatment of 47 patients with nonunion of the tibia. Applied surgical treatment of the hearth, plastic, fixation of the fragments with a spin-rod core ring, and conservative treatment was performed. Promised results are obtained. The purpose – to improve the results of treatment of patients with neoplasm of the tibia based on the introduction of literary data and properties of existing methods of surgical and conservative treatment based on analysis. Surgical intervention in patients with tenderness of the tibia included treatment of the hearth, the use of as a plastic material a mixture of autopsigenic, hydroxyapatite, fibrin matrix PRF, hemostatic sponge;  fixation by knitting needles and rod machines.  The conservative component of the rehabilitation complex consisted of multimodal anesthesia, vitamin therapy, the use of antioxidants, kinesitherapy and physiotherapy.

scholarly journals STRUCTURE FUNCTIONAL STATE OF DAMAGED SPLEEN IN CHILDREN AFTER NONOPERATIVE TREATMENT

2016 ◽  
Vol 175 (1) ◽  
pp. 64-70
Author(s):  
V. V. Podkamenev ◽  
I. A. Pikalo ◽  
T. M. Andaeva ◽  
T. N. Boiko
Keyword(s):  
Primary Prevention ◽  
Conservative Treatment ◽  
Functional State ◽  
Nonoperative Treatment ◽  
Regenerative Process ◽  
Structure And Function ◽  
Results Of Treatment ◽  
Function Recovery ◽  
Preservation Of The Spleen ◽  
And Function

The results of treatment of 75 children with spleen damage were studied. The conservative treatment was applied in 69 (92%) cases. A restoration of spleen structure was noted in case of spleen injury on 3-4 weeks. The complete normalization of the spleen structure occurred in terms of 3-4 months after trauma. Posttraumatic cysts appeared in case of large defects and hematomas after 2-3 weeks and disappeared by 5-6 months. The regenerative process of shallow ruptures was registered after 3-10 weeks, but the deep ruptures were healed after 6-30 weeks. The preservation of the spleen after trauma have led to structure and function recovery and could be considered as primary prevention of asplenism.

scholarly journals EVALUATION OF EFFECTIVENESS OF PERCUTANEOUS VERTEBROPLASTY IN COMPLEX TREATMENT OF OSTEOPOROSIS WITH PATHOLOGICAL VERTEBRAL FRACTURES

2010 ◽  
Vol 16 (2) ◽  
pp. 93-96
Author(s):  
D. S. Astapenkov
Keyword(s):  
Conservative Treatment ◽  
Vertebral Fractures ◽  
Group Treatment ◽  
Percutaneous Vertebroplasty ◽  
Complex Treatment ◽  
Treatment Results ◽  
Pathological Fractures ◽  
Treatment Of Osteoporosis ◽  
Results Of Treatment

The effectiveness of vertebroplasty in treatment of 84 patients with osteoporosis and pathological fractures of the vertebrae was evaluated. 68 patients of the first group were underwent a comprehensive conservative treatment, percutaneous vertebroplasty was performed additionally in 16 patients in second group. The study found that in the second group treatment results were slightly better: the investigated parameters showed a significant dynamics, ie, vertebroplasty improved the results of treatment of osteoporotic patients with pathological fractures of the vertebrae.

Management of patients in conditions of female consultation at persistent course of papillomavirus infection of the cervix

2017 ◽  
pp. 34-36
Author(s):  
N.A. Shcherbina ◽  
◽  
D.I. Demidenko ◽  
A.D. Demidenko ◽  
N.V. Kapustnik ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Key Words ◽  
Maximum Effect ◽  
Cervical Epithelium ◽  
Results Of Treatment ◽  
Human Papillomavirus Infection ◽  
Papillomavirus Infection ◽  
Complex Therapy ◽  
Effect Of Treatment

Under our supervision there were 66 women with a diagnosis of "dysplasia of cervical epithelium mild" on the background of persistent human papillomavirus infection (PVI). With the aim of improving the treatment of dysplasia of the 1st degree in rehabilitation activities after cryoablation there were applied drugs Distreptaza and inducer of interferon. The results of treatment were evaluated after 3 months. For patients of the 1st group (18 women) who underwent only cryoablation, the efficacy of therapy was 77.8%. In the 2nd group (22 women) after cryoablation was used inducer of interferon, the effectiveness made up of 90.9%. The maximum effect of treatment - 100% recorded in 3rd group (26 patients), where after cryoablation was carried out treatment with Distreptaza and inducer of interferon. The results of treatment obtained in this group allow to recommend the complex therapy of PVI in conditions of female consultation. Key words: dysplasia, HPV, cryosurgery, Distreptaza, inducer of interferon.

CURRENT STATE OF THE PROBLEM OF DRAINAGE FOR NEUROGENIC BLADDER

2021 ◽  
pp. 30-38
Author(s):  
Игорь Александрович Артюхов ◽  
Владимир Васильевич Кузьменко ◽  
Андрей Владимирович Кузьменко ◽  
Тимур Асланбекович Гяургиев
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Lower Urinary Tract ◽  
Advantages And Disadvantages ◽  
Economic Significance ◽  
Relevant Today ◽  
Modern Methods ◽  
Neurogenic Disorders ◽  
Neurogenic Dysfunction ◽  
Lower Urinary

Данный литературный обзор посвящен одной из актуальных проблем современной урологии - нейрогенной дисфункции мочевыводящих путей. Нейрогенная дисфункция нижних мочевыводящих путей является одной из важнейших проблем современной урологии, что обусловлено ее высокой распространенностью, частотой вторичных осложнений со стороны мочевыделительной системы и социально-экономической значимостью. Распространенность нейрогенного мочевого пузыря среди пациентов, перенесших острое нарушение мозгового кровообращения, варьирует от 15 % до 94 % и зависит от времени, прошедшего с момента сосудистого события. В статье представлены патофизиологические механизмы, лежащие в основе данной патологии, подробно рассмотрены современные методы дренирования нижних мочевыводящих путей, их преимущества и недостатки. К современным способам дренирования при нейрогенных расстройствах нижних мочевыводящих путей относят периодическую (интермиттирующую) катетеризацию, постоянную катетеризацию и надлобковую цистостомию. Анализ доступной литературы указывает на то, что частота осложнений, ассоциированных как с нейрогенной дисфункцией мочевого пузыря, так и с используемыми способами дренирования, продолжает оставаться достаточно высокой. Таким образом, проблема профилактики катетер-ассоциированных осложнений и улучшения качества жизни данной категории больных на сегодняшний день продолжает оставаться актуальной и требует проведения дальнейших исследований в данной области This literature review is devoted to one of the most pressing problems of modern urology - neurogenic urinary tract dysfunction. Neurogenic dysfunction of the lower urinary tract is one of the most important problems of modern urology, due to its high prevalence, frequency of secondary complications from the urinary system, and socio-economic significance. The prevalence of neurogenic bladder among patients who have experienced acute cerebrovascular accident varies from 15 % to 94 % and depends on the time elapsed since the vascular event. The article presents the pathophysiological mechanisms underlying this pathology, discusses in detail modern methods of drainage of the lower urinary tract, their advantages and disadvantages. Modern methods of drainage for neurogenic disorders of the lower urinary tract include periodic (intermittent) catheterization, permanent catheterization, and suprapubic cystostomy. Analysis of the available literature indicates that the frequency of complications associated with both neurogenic bladder dysfunction and the drainage methods used continues to be quite high. Thus, the problem of preventing catheter-associated complications and improving the quality of life of this category of patients continues to be relevant today and requires further research in this area

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