EVALUATION OF INDICATORS OF THE LATENT PERIOD OF BULBOQUERONE REFLEX AND ELECTROMYOGRAPHY IN THE DIAGNOSIS AND TREATMENT OF PATIENTS WITH INCREASED TONUS OF NEUROMUSCULAR STRUCTURES OF THE BLADDER AND DISTAL COLONIES OF THE HYPERKINETIC TYPE
DOI:
https://doi.org/10.11603/1681-2786.2017.4.8651Keywords:
neurogenic disorders in urination, intestine neurogenic dysfunction, detrusor, uroflowmetry, electromyography, bulbocavernous reflex.Abstract
Purpose: improving the effectiveness of diagnosis and treatment of patients with increased tonus of neuromuscular structures of the bladder and distal colonies of the hyperkinetic type.
Materials and Methods. The study group included 33 individuals with a combined neurogenic pathology of the lower sections of the urinary system and the lower sections of the colon. Diagnosis of functional disorders of the bladder and colon was performed with the definition of the latent period of bulbo-cavernous reflex under the control of electromyography.
Results. The conducted studies allowed the evaluating the indicators of the latent period of bulbocavernous reflux and electromyography in the diagnosis of patients with increased tonus of the neuromuscular structures of the bladder and of the distal colonies of the hyperkinetic type. Data of electromyographic studies allowed the developing and optimize treatment methods depending on the tone of the neuromuscular structures of the lower urinary tract and distal colon.
Conclusion. Conductive conservative treatment of patients with increased tonus of the neuromuscular structures of the bladder and distal gastrointestinal segments of the hyperkinetic type by electrostimulation of the braking technique is effective, providing a positive effect in 91.4 % of cases.
References
Walden, A.L., Salsbury, S.A., Reed, W.R., & Lawrence, D.J. (2014). Bladder and bowel symptoms among adults presenting with low back pain to an academic chiropractic clinic: results of a preliminary study. Journal of Chiropractic Medicine, 13 (3), 178-187.
Gormley, E.A., Lightner, D.J., & Burgio, K.L. (2012). Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU Guideline. The Journal of Urology, 188 (6), 2455-2463.
Gormley, E.A., Lightner, D.J., Faraday, M., & Vasavada, S.P. (2015). Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU Guideline Amendment. The Journal of Urology, 193 (5), 1572-1580.
Tikkinen, K.A., & Auvinen, A. (2012). Does the imprecise definition of overactive bladder serve commercial rather than patient interests. European Urology, 61 (4), 746-748.
Thüroff, J.W., Abrams, P., & Andersson, K.-E. (2011). EAU guidelineson urinary incontinence. European Urology, 59 (3), 387-400.
Nurko, S., & Scott, S.M. (2011). Coexistence of constipation and incontinence in children and adults. Best Practice & Research Clinical Gastroenterology, 25 (1), 29-41.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
