PRIMENENIE M-KhOLINOBLOKATOROV V KOMPLEKSNOM LEChENII NEDERZhANIYa MOChI POSLE RADIKAL'NOY PROSTATEKTOMII


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Abstract

The article presents the results of the study involving 77 patients with urinary incontinence (UI) after radical prostatectomy; patients underwent pelvic floor muscle training with control of biofeedback for therapeutic purposes. In order to increase the effectiveness of treatment, 16 (20,8 %) patients have received М-anticholinergic drug trospium chloride as a part of complex therapy for the reduction of frequency of involuntary contractions of the detrusor. Pelvic floor muscle training in patients with UI led to reduction of incidence of involuntary detrusor contractions, and prevention of the reduction of pressure in the urethra in response to a sudden increase in intra-abdominal pressure. The use of trospium chloride for the complex treatment of urinary incontinence has strengthened inhibitory effect of voluntary contractions of pelvic floor muscles on detrusor.

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