Women have features of conservative treatment of urinary incontinence

Abstract

DOI: 10.52705/2788-6190-2025-01.1-19
УДК 616.62-008.222-055.2-08-039

Research purpose. To estimate efficiency of conservative treatment of urinary incontinence for women.
Materials and methods. I-я group – 40 patients (middle age 43,0±4,1 years) with imperative urinary incontinence got complex conservative therapy. In same queue the patients of this group depending on the methods of treatment parted on 2 sub-groups: 20 women which got base therapy entered in a 1th (I) sub-group (to the antimuscarine preparations, preparations which improve metabolism of detrusor, physiotherapeutic treatment, physical therapy for muscle strengthening of pelvic floor and exercise of Kegelya); did 20 patients which base therapy was complemented by a reception enter in a 2th (I) sub-group alpha1-blockers. To the complex of the conducted researches clinical instrumental, laboratory and statistical methods were included.
Results. Is there base therapy with the use alpha1-blockers for patients with imperative urinary incontinence instrumental in proceeding in bioelectric activity at level detrusor and sphincter of urethra which results in normalization a reservoir and evacuation function of urinary bladder and locking function of sphincter of urethra. From data of results of ultrasound examination of levator muscles with Doppler for patients with imperative urinary incontinence to treatment the meaningful diminishing of indexes of width of levator muscles was marked statistically on all three levels, increase of indexes of Vps and RI by comparison to the group of control which testifies to isotonic shortening of levator muscles. After treatment in the 1 sub-group of patients statistically meaningful changes in recovery in the investigated parameters were not observed. In the 2 sub-group of patients after treatment the meaningful increase of indexes of width of levator muscles was registered statistically on all three levels on 54,7%; 51,8% and 59,9% respectively (in all cases of р<0,05). The index of Vps decreased on 35,1%, and an index of RI is on 32,3% (in both cases of р<0,05).
Conclusion. So, on a background the conducted complex conservative treatment of patients with imperative urinary incontinence, the removal of isotonic shortening of levator muscles is marked, that was instrumental in an increase effective to the cut of urethra and decline maximal urethral and to detrusor pressure. In this case is the positive action of conservative treatment in a greater degree constrained from alpha1-blockers (2-я sub-group).