NON-MEDICINAL TREATMENT OF HYPERACTIVITY OF THE URINARY BLADDER WITH MIXED URINARY INCONTINENCE IN WOMEN

Abstract

THE AIM of the investigation was to study efficiency of non-medicinal treatment of hyperactivity of the urinary bladder in women with mixed urinary incontinence (UI). PATIENTS AND METHODS. The observation included 183 women (mean age 67.5 years) with mixed UI. A complex urodynamic investigation was carried out before and after treatment of all patients which included cystometry of filling and measurement of the urethral pressure profile. The subjective data were recorded in the journal of urination which was filled in by the patients during 3 days before and after the course of treatment. Group A 63 patients were prescribed a combination of training pelvic muscles by the biofeedback method with urination according to timetable. Group B (56 women) during 3 months went to toilet strictly according to the timetable, without other methods of treatment. Group C (54 women) used only training of pelvic muscles – without biofeedback – at home. RESULTS. During treatment all the patients demonstrated less number of urinations in a day from 11± 0.7 to 7±0.4 (p<0.05). The frequency of imperative urges was reliably less in groups A and C, in the same patients symptoms of stress urinary incontinence absolutely disappeared. The maximal cystometric capacity increased from 170±25 ml to 280±32 ml (p<0.05) in group A and from 163± 29 ml to 240±13 ml in group B (p<0.05). CONCLUSION. The complex non-medicinal approach to treatment of hyperactivity of the urinary bladder in women with mixed urinary incontinence is a worthy alternative having no side effects in treatment of the older age group.