THE INFLUENCE OF THE DEGREE OF MINERAL SALT METABOLISM DISORDER ON THE FUNCTIONAL STATE OF THE NEUROMUSCULAR STRUCTURES OF THE URINARY BLADDER AND ITS SPHINCTER APPARATUS IN PATIENTS WITH UROLITHIASIS WITH POST-COVID SYNDROME
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.14076Keywords:
urolithiasis, postcovid syndrome, electromyographyAbstract
SUMMARY. The aim – establish the dependence of the functional state of the neuromuscular structures of the urinary bladder and its sphincter apparatus in patients with urolithiasis with post- covid syndrome on the degree of mineral salt metabolism disorder.
Material and Methods. The study group included 41 patients with urolithiasis with post-covid syndrome. Of them, 26 are men and 15 are women. All patients underwent a comprehensive examination using both generally accepted and special diagnostic methods. EMG of the urinary bladder and its sphincter apparatus was used to determine the functional state of the muscles that provide dynamic activity of the lower urinary tract. Electromyographic examination of the bladder and its sphincter apparatus was carried out on a 4-channel electromyograph "Medicor M-440", (Hungary).
Results. After the treatment, depending on the disturbance of the metabolism of mineral stone-forming salts, a positive effect and correlation of clinical and neurophysiological indicators were noted in 87.4 %. In 12.6 % of cases, patients who subjectively did not note a positive effect of the treatment, also did not notice positive dynamics during EMG.
Conclusions. 1. During the electromyographic examination of patients with urolithiasis with post-covid syndrome, a violation of the functional state of the lower urinary tract was detected.
- Improvement of the degree of disturbance in the metabolism of mineral stone-forming salts led to the correction of electromyographic indicators of the lower urinary tract.
References
Antonucci, M., Recupero, S.M., Marzio, V., De Dominicis, M., Pinto, F., & Foschi, N. (2020). El impacto de la COVID-19 en las admisiones al servicio de urgencias, hospitalizaciones y manejo clínico de la urolitiasis en el centro de Italia: análisis multicéntrico. Actas Urol. Esp., 44, 611-616.
Metzler, I.S., Sorensen, M.D., Sweet, R.M., & Harper, J.D. (2020). Stone care triage during COVID-19 at the University of Washington. J. Endourol., 34, 1-2. DOI: 10.1089/end.2020.29080.ism.
Proietti, S., Gaboardi, F., & Giusti, G. (2020). Endourological stone management in the era of the COVID-19. Eur. Urol. DOI: 10.1016/j.eururo.2020.03.042.
Mantica, G., Suardi, N., & Terrone, C. (2020). Re: Ming-Chun Chan, Sharon E.K. Yeo, Yew-Lam Chong, Yee-Mun Lee. Stepping Forward: Urologists’ Efforts During the COVID-19 Outbreak in Singapore. Eur. Urol., 78, E42. DOI: 10.1016/j.eururo.2020.04.045. Retrieved from: https://www.europeanurology.com/article/S0302-2838(20)30308-0/pdf.
Tefik, T., Guven, S., Villa, L., Gokce, M.I., Kallidonis, P., & Petkova K. (2020). Urolithiasis practice patterns following the COVID-19 pandemic: overview from the EULIS Collaborative Research Working Group. Eur. Urol., 78, e21-24. DOI: 10.1016/j.eururo.2020.04.057.
Stensland, K.D., Morgan, T.M., Moinzadeh, A., Lee, C.T., Briganti, A., & Catto, J.W.F. (2020). Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur. Urol., 77, 663-666. DOI: 10.1016/j.eururo.2020. 03.027.
Antonucci, M., Recupero, S.M., Marzio, V., De Dominicis, M., Pinto, F., & Foschi, N. (2020). The impact of COVID-19 outbreak on urolithiasis emergency department admissions, hospitalizations and clinical management in central Italy: a multicentric analysis. Actas Urol. Esp. (Engl. Ed), 44, 611-616.
Gökce, M., Yin, S., Sönmez, M.G., Eryildirim, B., Kallidonis, P., & Petkova, K. (2020). How does theq1 COVID-19 pandemic affect the preoperative evaluation and anesthesia applied for urinary stones? EULIS eCORE-IAU multicenter collaborative cohort study. Urolithiasis., 48, 345-351.
Flammia, S., Salciccia, S., Tufano, A., Busetto, G.M., Ricciuti, G.P., & Sciarra, A. (2020). How urinary stone emergencies changed in the time of COVID-19? Urolithiasis, 48, 467-469.
Chiancone, F., & Fedelini, P. (2020). Managing change in the urology department of a large hospital in Italy during the COVID-19 pandemic. Int. J. Urol., 27, 820-822.
