Combination therapy for enuresis in adolescent girls


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Abstract

Objective. To evaluate the efficiency of vibromagnetic impact on the pelvic floor area in treating enuresis in adolescent girls. Material and methods. This group included 36 adolescent girls suffering from involuntary urination during sleep (enuresis). Results. Combination treatment with medications and physiotherapy for enuresis in children allowed efficiency achievement in 52.3% of cases versus the comparison group in which drug therapy with M-choline antagonists (driptan) eliminated the symptoms of urinary incontinence in 26.6% of cases. This drug’s dosage was given twice less than usual. Conclusion. Therapy of enuresis in children can be performed with driptan, but the presence of side effects, such as constipation, dry mouth, palpitations, and a higher risk of diabetes insipidus, limits its use in children and adolescents. Combination treatment with medication and physiotherapy enables reductions in the dose of the drug and in its adverse reactions on the body, which can serve as the basis for recommendations for this therapy option at the facilities at all levels, in the presence of indications for and in the absence of contraindications to physiotherapy.

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About the authors

Inna Anatolievna Apolikhina

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University

Email: i_apolikhina@oparina4.ru
MD, Head of the Department of Aesthetic Gynecology and Rehabilitation; Professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology

Aydar Mindiyarovich Ziganshin

Bashkir State Medical University

Email: Zigaidar@yandex.ru
Ph.D., assistant professor of Obstetrics and Gynecology Department

Nina Viktorovna Bolotova

V.I. Razumovsky Saratov State Medical University

Email: Kafedranv@mail.ru
MD, Professor of the Department of Propaedeutics of Childhood Illnesses, Pediatric Endocrinology and Diabetology

Yury Mikhaylovich Raigorodsky

OOO TRIMA

Email: trima@trima.ru
Ph.D., General Director

Svetlana Vladimirovna Timofeeva

V.I. Razumovsky Saratov State Medical University

Email: svetlana-lazebnikova@yandex.ru
Candidate of Medical Science, Assistant of the Department of Propaedeutics of Childhood Illnesses, Pediatric Endocrinology and Diabetology

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