scholarly journals Surgical treatment of stress urinary incontinence and activation of reflex mechanism of the pelvic floor

2021 ◽  
Vol 22 (2) ◽  
pp. 92-99
Author(s):  
V. V. Danilov ◽  
I. Yu. Volnikh ◽  
V. V. Danilov ◽  
V. V. Danilov
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Receptive Field ◽  
Pelvic Floor ◽  
Urinary Retention ◽  
Reflex Mechanism ◽  
Non Invasive ◽  
Before And After

The study included a group of 133 women (average age 55 years) suffering from urinary incontinence and operated on by the synthetic sling method. A number of studies were performed before and after surgery, including non-invasive uroflow monitoring. The processing and analysis of the data obtained, including the results of urodynamic monitoring, made it possible to provide a mechanism of urinary retention, which is based on the activation of the 4th mating reflex of a forced change in the receptive field by an installed synthetic tape. Based on the reflex nature of the described mechanism, one should use any operation from the class of synthetic sling of limiting effectiveness, use an instrument for implantation, and the material itself is not of key importance for eliminating incontinence.

scholarly journals PERBEDAAN LEVEL RERATA KEKUATAN OTOT DASAR PANGGUL SEBELUM DAN SETELAH PERSALINAN SPONTAN PADA KELOMPOK INKONTINENSIA URIN DAN KELOMPOK NORMAL

2017 ◽  
Vol 1 (1) ◽  
pp. 7-14
Author(s):  
Bobby Indra Utama ◽  
Hasni Kemala Sari ◽  
Hafni Bachtiar
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Muscle Strength ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
Mean Difference ◽  
Normal Group ◽  
Before And After ◽  
The Mean

Trauma to the pelvic floor during delivery is now recognized as a major etiological factor against PFM disorders such as urinary incontinence, pelvic organ prolapse and fecal incontinence. This study was conducted to analyze the differences in mean levels of differences of pelvic muscle strength before and after spontanous labor between stress urinary inconti-nence group and normal group. This research was done using analytic method with cross sectional design in 13 women with stress urinary incontinence, and 17 women with normal group. Subjects were collected in hospitals of Pariaman, Padang from May to December 2014. Examination of the pelvic floor muscle strength was performed with a perineometer. Differences between the mean difference in the strength of the pelvic floor muscles before and after spontaneous delivery between the two groups were analyzed using independent t test. The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was larger than normal group (3.85 + 1.281 cmH2O vs 2,00 + 1.173 cmH2O, p = 0.000). The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was significantly greater than the normal group.Keywords: Pelvic Floor Muscle, Urinary Incontinence, Spontaneous Labor

scholarly journals Experience of application of the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urine continuity in women

2018 ◽  
Vol 17 (6) ◽  
pp. 305-311
Author(s):  
D. I. Kolgaeva ◽  
E. S. Koneva ◽  
T. V. Shapovalenko ◽  
E. N. Zhumanova ◽  
K. V. Lyadov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Urinary Retention ◽  
High Intensity ◽  
Complete Disappearance ◽  
Complex Treatment ◽  
Absorbent Pads

Background. The article presents the results of applying the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women. Aim. To study and scientifically use the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women. Research Objective: To study the effect of high-intensity focused electromagnetic therapy on the manifestations of urinary incontinence by assessing the ability of urinary retention (by the number of absorbent pads used) and quality of life according to the questionnaire of the International Council of Urinary Incontinence (ICIQ-SF) in women with stress urinary incontinence. Methods. The study included 40 women whose average age was 53.6 4.8 years with stress incontinence; the disease duration was 5.6 1.1 years, which were divided into 2 groups comparable by clinical and functional characteristics, the main 20 patients who underwent a course of WIFEM therapy, consisting of 67 procedures, which were carried out 23 once a week, the duration of each procedure was 28 minutes and the control ― 20 patients who underwent a course of exercises according to Kegel, daily, for a course of 20 lessons. Results. As a result of the study, it was shown that high-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which helps to strengthen control over urinary retention, a significant reduction and even complete disappearance of symptoms of urinary incontinence, and an increase in the psycho-emotional background and quality of life in general, as evidenced by a test to determine the amount of absorbent pads used and questionnaire data and for urinary incontinence (ICIQ-SF). Conclusion. High-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which contributes to increased control over urinary retention, a significant decrease or even complete disappearance of symptoms of incontinence, as well as an increase in psycho-emotional background and quality of life in general.

scholarly journals The Efficacy of Pelvic Floor Exercise for the Stress Urinary Incontinence

2021 ◽  
pp. 85-89
Author(s):  
Pradnya Gavhale ◽  
Manjusha Mahakarkar
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Sampling Technique ◽  
Abdominal Pressure ◽  
Pelvic Floor Exercise ◽  
Before And After ◽  
Grading Scale ◽  
Pressure Stress

Background: Stress urinary incontinence is an involuntary leaking of urine during physical activity, such as coughing, sneezing, laughing, or exercise that increases abdominal pressure. Stress urinaryincontinence has a wide variety of impacts on women's daily. Objectives: To assess the stress urinary incontinence among women before and after pelvic floor exercise, to assess the severity of stress urinary incontinence among women before and after pelvic floor exercise, to find out the association between stress urinary incontinence and severity with selected demographic variables. Methodology: A study will be conducted in the rural community area of the Wardha district. A total of 30 women will be selected as the study sample by using the non-probability purposive sampling technique as per the inclusion/exclusion criteria. An interventional evaluatory approach and time-series design will be used. In this study, the researcher will assess the stress urinary incontinence with the help of a structured questionnaire and again assess the severity of stress urinary incontinence with a grading scale after that pelvic floor exercise will be given to that woman after 2 weeks again researcher will assess the stress urinary incontinence and severity of the stress urinary incontinence with the grading scale. Outcome/results: The outcome will be the pelvic floor exercise or training (PFE) will minimize the incidence rate of stress urinary incontinence among women it also helps to increase the pelvic floor muscle strength.

An interview with 40 patients with stress urinary incontinence after uro-gynaecological rehabilitation

1996 ◽  
Vol 63 (3) ◽  
pp. 338-341
Author(s):  
G. Olivo ◽  
A. Calisti ◽  
G. Carluccio ◽  
G. Poletti ◽  
A. Lotto
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Functional Electrical Stimulation ◽  
Female Urinary Incontinence ◽  
Pelvic Floor Exercises

Uro-gynaecological rehabilitation is a sequential therapeutic cocktail of biofeedback, functional electrical stimulation and kinesitherapy of the pelvic floor. Results of an interview with 40 female patients after uro-gynaecological rehabilitation are reported, in order to evaluate the effectiveness of the treatment on the quality of life, the popularity of this method, its acceptability and the difficulty of the pelvic floor exercises. In our experience uro-gynaecological rehabilitation has several positive aspects compared to traditional surgical treatment; in selected cases of female urinary incontinence, this method is therefore proposed as a valid therapeutic alternative.

A Preliminary Study: The Effectiveness of CO2 Laser Therapy for Stress Urinary Incontinence

2020 ◽  
pp. 228-230
Author(s):  
Fernandi Moegni ◽  
Nadir Chan ◽  
Budi I. Santoso ◽  
Raymond Surya ◽  
Leonardo Tanamas
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Co2 Laser ◽  
Invasive Treatment ◽  
Non Invasive ◽  
Vaginal Rejuvenation ◽  
Before And After ◽  
Quasi Experimental

Objective: To evaluate the role of fractioned CO2 laser intravaginal as a non-invasive treatment for relieving stress urinary incontinence (SUI) symptoms.Methods: This was a prospective, quasi-experimental study in patients with SUI. The patients were treated through three different sessions in a month apart by the fractioned CO2 laser Femilift©, produced by Alma Lasers. The patients fi lled and completed questionnaires about continence assessment, quality of life, and sexuality before and after therapy based on PISQ-12 and ICIQ-UI questionnaire. Perineometry was performed to prove the outcome.Results: Twenty women were enrolled. At 4 weeks following the third treatment, there was a signifi cant improvement for continence assessment (7.70 ± 4.38 to 4.50 ± 2.88; p < 0.001), quality of life and sexuality (28.13 ± 7.06 to 33.13 ±7.80; p < 0.001), and vaginal perineometer results (37.20 ± 17.24 to 48.80 ± 16.72; p = 0.009).Conclusions: Fractioned CO2 intravaginal laser has a role in improving SUI symptoms.Keywords: fractioned CO2 laser, stress urinary incontinence, vaginal rejuvenation. AbstrakTujuan: Untuk mengetahui efektivitas terapi laser CO2 terfraksi intravaginal sebagai terapi non-invasif untuk mengurangi gejala inkontinensia urine (IU) tipe tekanan.Metode: Penelitian ini merupakan studi prospektif, quasieksperimental pada pasien dengan inkontinensia urin (IU) tipe tekanan yang mengikuti terapi laser CO2 terfraksi intravaginal tiga sesi berbeda, dengan jarak satu bulan menggunakan laser CO2 terfraksi Femilift© dari Alma Lasers. Subjek mengisi kuesioner mengenai penilaian kontinensia, kualitas hidup dan kehidupan seksual sebelum dan sesudah terapi (kuesioner PISQ-12 dan ICIQ-UI). Selain kuesioner, pemeriksaan perineometri juga dilakukan pada beberapa subjek penelitian untuk membuktikan efektivitas terapi.Hasil: Dua puluh subjek ikut dalam penelitian ini. Penilaian pada minggu keempat setelah sesi terapi ketiga, menunjukkan peningkatan yang signifi kan pada penilaian kontinensia (7.70 ± 4.38 ke 4.50 ± 2.88; p < 0.001), pada kualitas hidup dan kehidupan seksual (28.13 ± 7.06 ke 33.13 ±7.80; p < 0.001), dan pada hasil perineometri (37.20 ± 17.24 ke 48.80 ± 16.72; p = 0.009).Kesimpulan: Terapi laser CO2 terfraksi intravaginal menunjukkan kecenderungan untuk mengurangi gejalainkontinensia urine (IU) tipe tekanan.Kata kunci: inkontinensia urin tipe tekanan, terapi laser CO2 terfraksi intravaginal, vaginal rejuvenation.

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