Stress urinary incontinence in women. Possibilities of conservative therapy
- Authors: Rusina E.I.1, Zhevlakova M.M.1, Yarmolinskaya M.I.1,2
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Affiliations:
- Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 70, No 5 (2021)
- Pages: 131-140
- Section: Reviews
- Submitted: 13.07.2021
- Accepted: 15.09.2021
- Published: 02.11.2021
- URL: https://journals.eco-vector.com/jowd/article/view/76029
- DOI: https://doi.org/10.17816/JOWD76029
- ID: 76029
Cite item
Abstract
The relevance of this study is due to the high prevalence of stress urinary incontinence in women of different age groups and the search for effective conservative treatment methods.
The aim of this study was to present scientific data based on modern evidence on the effectiveness of conservative treatment methods and their safety in the treatment of stress urinary incontinence in women.
A review of the literature (original articles, systematic reviews) on the use of conservative therapy for the treatment of stress urinary incontinence in women was carried out.
Depending on the severity of stress urinary incontinence in women, their age and concomitant diseases, the options for the proposed treatment may vary. For the conservative treatment of the disease, along with lifestyle modification and the use of hygiene products, it is possible to use training and electromyostimulation of the pelvic floor muscles, innovative laser technologies, and drug therapy. The first line therapy is to train one’s pelvic floor muscles. The best effect of the training is observed in younger patients with mild to moderate severity of the disease using stationary biofeedback simulators under the supervision of medical staff. An alternative to this type of treatment is to conduct training of the pelvic floor muscles in the biofeedback mode with portable simulators remotely under the supervision of specially trained personnel. In connection with the coronavirus pandemic, this therapy is gaining wide popularity, as every patient should be offered acceptable and effective treatment options.
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About the authors
Elena I. Rusina
Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
Email: pismo_rusina@mail.ru
ORCID iD: 0000-0002-8744-678X
MD, Dr. Sci. (Med.)
Russian Federation, Saint PetersburgMaria M. Zhevlakova
Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
Author for correspondence.
Email: gynecologist.spb@mail.ru
MD
Russian Federation, Saint PetersburgMaria I. Yarmolinskaya
Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov
Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605
Scopus Author ID: 7801562649
ResearcherId: P-2183-2014
MD, Dr. Sci. (Med.), Professor, Professor of the Russian Academy of Sciences
Russian Federation, Saint PetersburgReferences
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