Electrostimulation in the treatment of patients with combined neurogenic pathology of the lower urinary tract and distal colon
DOI:
https://doi.org/10.11603/2414-4533.2017.4.8211Keywords:
neurogenic bladder disorders, neurogenic bowel dysfunction, electromyography, detrusor, electrostimulation.Abstract
The aim of the study – improving the treatment efficiency of patients with combined neurogenic pathology of the lower urinary tract and distal colon.
Materials and Methods. All patients with a combined neurogenic pathology of the lower sections of the urinary system and the lower sections of the colon had a comprehensive examination using both conventional and special diagnostic methods. We used electromyography (EMG) of the bladder and sphincter apparatus, anal sphincter, pelvic floor muscles to qualitatively and quantitatively evaluate the function of the muscles that provide the dynamic activity of the lower urinary tract and distal colonies. To strengthen the bioelectric activity of the muscles of the lower sections of the urinary system and distal colonies, 4-channel electromyograph, "Medikor" (Hungary), was used.
Quantitative evaluation of muscle function, according to EMG, was performed on the basis of the mean values of total bioelectric activity and the frequency of passage of pulses.
Results and Discussion. The study group included 30 women with an average age of (41.8±2.1) years, where the duration of the disease was (18.4±1.6) months.
The average indicator of poliovirus in this group of patients before treatment was (3.4±1.2) times, nocturia was (2.8±0.6) times a day, imperative demands were (2.4±0.5) times a day, and imperative urinary incontinence was noted (3.1±0.67) times a day. PPBC questionnaire rating was (4.5±1.0) points.
The evaluation of the symptoms of clinical manifestations of the distal colon pathology in women before treatment showed that constipation was noted in patients with (5.1±0.09) times, incontinence of gases – (4.8±0.7) times, incontinence of liquid feces in patients (2.7±0.5) times, incontinence of hard feces – (1.2±0.2) times. When evaluating the questionnaire CRADI-8 we received in this group of patients before treatment (19.8±1.2) points.
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