scholarly journals Results of treatment of patients with combined neurogenic pathology of the lower urinary tract and distal colon of the gut by hypotonic type with electromyographic control

Health of Man ◽  
2017 ◽  
Vol 0 (3(62)) ◽  
pp. 86-88
Author(s):  
П. В. Чабанов
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Distal Colon ◽  
Results Of Treatment ◽  
Lower Urinary

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.

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.

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.

scholarly journals Lower urinary tract dysfunction in women with pelvic organ prolapse: diagnostic problems

2018 ◽  
Vol 67 (4) ◽  
pp. 4-12
Author(s):  
Elena I Rusina
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract ◽  
Functional Results ◽  
Pelvic Organ ◽  
Lower Urinary Tract Dysfunction ◽  
Diagnostic Problems ◽  
Results Of Treatment ◽  
Treatment Application ◽  
Lower Urinary

Lower urinary tract dysfunction (LUTD) is often the main reason for patients with pelvic organ prolapse (POP) to see a doctor. LUTD can be caused by a variety of pathophysiological reasons that are underestimated in preoperative examination and are not taken into account when planning treatment. Application of examination algorithms using modern urodynamic methods in patients with LUTD and POP can lead to an improvement in the functional results of treatment. (For citation: Rusina EI. Lower urinary tract dysfunction in women with pelvic organ prolapse: Diagnostic problems. Journal of Obstetrics and Women’s Diseases. 2018;67(4):4-12. doi: 10.17816/JOWD6744-12).

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