Modification of the sling operation with the use of tubing vaginal scrapdue to urine incontinence in women

It is given in an article the description of the new modification technique for the sling operation with stipulating use of the tubing scrapfrom the front vaginal wall mucosa fixed in an ureterovesical segment zone. This intervention, in our opinion, especially convenient if II type of urine incontinence takes place where dislocation of the invariable urethra is combined with cystocele and there is excess of the vaginal wall, which may be easy used as plastic material. This operation elaborated by authors is performed exclusively by vaginal way, that allows decrease the traumas and complications number, increase the cosmetic effect, simplify the surgical intervention. Recent results of treatment according to this metho dies permit to hope on its efficiency also in days that are more far-off.

Pengaruh Kegel Exercise terhadap Inkontinensia Urine pada Ibu Postpartum Multipara

Introduction: One of problems experienced post-partum mothers is urine incontinence. Kegel exercise effects on urine incontinence post-partum mothers and elderly. However, limited study search for its effect on multiparous post-partum mothers. This study aims to determine the effect of Kegel exercise on urinary incontinence in multiparous post-partum mothers.Methods: The research design used was a quasi-experiment with a post-test with control group design which was divided into an experimental group and a control group. The research was conducted in the work area of Rejosari Public Health Center with a sample size of 34 respondents with the criteria of multiparous postpartum mothers who experienced urinary incontinence in normal labor with a purposive sampling technique. The measuring instrument used was the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). Data analysis used dependent and independent t-test.Results: The results of the dependent t-test statistic with α 0.05 showed that Kegel exercise was effective against urinary incontinence in the experimental group p value (0.000) and the control group p value (0.033) and the results of the independent t-test showed that there was an effect of Kegel exercise on urinary incontinence in the experimental group and the control group p value (0.004). The results of this study can be used as a reference for using Kegel exercises as a way to deal with complaints of urinary incontinence in multiparous post-partum mothers.

Biofeedback in the treatment of patients with urine incontinence after radical prostatectomy

The review article is devoted to the application of the biofeedback in the treatment of patients with urinary incontinence after radical prostatectomy. The data on the mechanism of urinary continence in men and its damage during surgery are presented, the pathogenetic basis of the therapeutic effect of pelvic muscle training in this patients is highlighted. The analysis of the main russian and foreign clinical studies on the use of the biofeedback in patients with urinary incontinence after prostatectomy has been carried out. It is indicated that biofeedback increases the effectiveness of conservative treatment of urinary incontinence, however the even wider use of this method of treatment is limited by the lack of standard protocols for training pelvic muscles under the control of biofeedback.

Addition of Neuromuscular Taping in Kegel Exercise For Increasing Pelvic Floor Muscles of the Urine Incontinence in Middle-aged Individuals

Urine incontinence is the loss of bladder control, or leaking urine. The current study aimed at providing a physiotherapy intervention such as adding neuromuscular taping to Kegel exercises for increasing the pelvic floor muscles. The study was conducted at the Wredha Khusnul Khotimah house in Pekanbaru. The study is an experimental research with a randomized pre- and post-test group design, and made a comparison between the two groups. The study compared the RUIS (Revised Urinary Incontinence Scale) scale value before and after the intervention. The study sample comprised of 20 middle-aged people with urine incontinence condition who were recommended neuromuscular taping in addition to their Kegel exercises for six weeks. Mann Whitney test found p-value < 0.05, so it could be concluded that there was a difference between the RUIS value before and after the intervention in both groups. The addition of neuromuscular taping to Kegel exercises is more effective than Kegel exercise alone for urine incontinence condition in middle-aged individuals. Keywords: neuromuscular taping, elderly, urine incontinence

Gambaran Pemberian Terapi Kegel Exercise terhadap Inkontinensia Urine pada Ibu Postpartum

Pendahuluan: Postpartum atau masa nifas adalah masa yang dimulai setelah kelahiran plasenta dan berakhir saat alat-alat kandungan kembali seperti keadaan sebelum hamil. Salah satu permasalahan pada ibu postpartum adalah inkontinensia urin. Inkontinensia urine merupakan ketidakmampuan seseorang untuk menahan keluarnya urine. Kegel exercise adalah tindakan non farmakologi yang dapat digunakan untuk memperkuat otot-otot dasar panggul. Tujuan penelitian ini adalah untuk mengetahui gambaran pemberian intervensi kegel exercise terhadap inkontinensia urin pada ibu postpartum di Wilayah Kerja Puskesmas Gedong Air Bandar Lampung. Metode penelitian menggunakan penelitian deskriptif. Penelitian ini melibatkan dua partisipan yaitu dua ibu postpartum. Instrumen yang digunakan adalah lembar observasi dan lembar kuesioner International Consultant Incontinence Questionnaire-Urine Incontinence Short Form (ICIQ-UISF). Hasil penelitian menunjukkan pada partisipan pertama tidak terjadi inkontinensia urin di hari keenam dan partisipan kedua tidak mengalami inkontinensia urin pada hari ketujuh. Berdasarkan hasil penelitian didapakan hasil bahwa teknik kegel exercise dapat direkomendasikan untuk mencegah terjadinya inkontinensia urin pada ibu postpartum. Saran: Direkomendasikan latihan kegel exercise pada ibu postpartum dapat diberikan untuk mencegah atau mengatasi inkontinensia urin.

INKONTINENSIA URIN PADA LANSIA PEREMPUAN

Inkontinensia urin merupakan salah satu gangguan perkemihan yang terjadi pada lanjut usia. Kejadian inkontinensia urin dapat disebabkan karena menurunnya fungsi kandung kemih dan penurunan otot disekitar saluran kemih. Banyak pendapat yang menyatakan bahwa kejadian inkontinensia urin paling sering terjadi pada perempuan. Untuk memastikan hal tersebut, maka tujuan penelitian ini untuk mengetahui hubungan antara jeniskelamindengan inkontinensiaurinpada lansia. Penelitian ini merupakan jenis penelitian kuantitatif korelasi . penggumpulan data dilakukan dengan kuesioner. Responden merupakan seluruh lansia yang mengalami inkontinensia urin. Instrument yang digunakan adalah International Consultant Incontinence Questionnaire-Urine Incontinence Short Form (ICIQ-UISF).51 responden dilibatkan dalam penelitian ini dengan teknik concecutive sampling. Uji analisis data menggunakan Chi-Square.Hasil analisis data didapatkan jenis kelamin perempuan mengalami inkontinensia urin sebanyak 35 (68.6%) responden, sedangkan jenis kelamin laki-laki sebanyak 16 (31.4%) responden. Adapun derajat inkontinensia berat sebanyak 31 (60.8%) responden dan derajat inkontinensia sedang sebesar 20 (39.2%). Ada hubungan antara jenis kelamin dengan inkontinensia urin pada lansia dengan nilai p< 0,05 dengan nilai Odd Ratio (OR) 4.1 (1.2 – 14.5). Perlu adanya penelitian lanjutan terkait dampak inkontinensia urin pada kualitas hidup lansia. Kata Kunci : Inkontinensia Urin, Jenis Kelamin, Lansia

Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report

Carbon monoxide (CO) poisoning causes severe brain damage, including delayed neuropsychiatric sequelae (DNS), which occur after a lucid interval following recovery from the insult of acute CO poisoning. We describe a 39-year-old male who developed DNS, including gait disturbance, trunk ataxia, and fecal/urine incontinence, after remission of acute CO poisoning. Furthermore, he showed confusion, with disorientation in terms of time and space. All symptoms, including cognitive impairment, were dramatically improved by amantadine monotherapy. The present case illustrates the possibility of amantadine treatment for cognitive impairment as well as Parkinsonism induced by CO poisoning.