DYNAMICS OF CHANGES IN ELECTROMYOGRAPHY INDICATORS OF THE LOWER URINARY TRACT DEPENDING ON THE DEGREE OF DISTURBANCE IN THE METABOLISM OF MINERAL STONE-FORMING SALTS IN PATIENTS WITH NEUROGENIC URINATION DISORDERS

Authors

  • S. O. Vozianov State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • V. V. Chernenko State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • P. V. Chabanov State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • D. V. Chernenko State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • N. A. Sevastyanova State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • V. Yu. Ugarov State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • N. I. Zheltovska State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • R. E. Ladnyuk State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»
  • V. Y. Savchuk State Institution «Academician O. F. Vozianov Institute of Urology of the National Academy of Medical Sciences of Ukraine»

DOI:

https://doi.org/10.11603/1811-2471.2024.v.i4.15031

Keywords:

crystalluria, electromyography

Abstract

SUMMARY. The aim – to establish the dependence of the functional state of the lower urinary tract of patients with hypercrystalluria on the degree of mineral salt metabolism disorder.

Material and Methods. 69 patients were under observation, of which 37 were men and 32 were women. All patients underwent a comprehensive examination using both generally accepted and special diagnostic methods, among which electromyography took the main place. An electromyograph "Medicor M440" was used to record electromyography. To remove the biopotentials of the detrusor and its sphincter apparatus, we used special electrodes – catheters. The analysis of the results of electromyography was carried out according to the indicators of the average voltage value.

All patients underwent general urinalysis and salt transport. Depending on the type of hypercrystalluria and the functional state of the lower urinary tract, complex conservative treatment was carried out. The results were evaluated after 3 months, 6 months, 12 months.

Results. When analyzing the indicators of the average value of the difference in detrusor biopotentials, a gradual decrease of 12.5 % ​was obtained in the course of treatment in men, and a decrease of 13.1 % in women.

During the control examination of patients, in the vast majority of cases (85.5 %), a positive effect and correlation of clinical and electromyographic indicators were noted. In 14.5 % of cases, patients who subjectively did not note a positive effect of the treatment, also did not notice positive dynamics during EMG.

Conclusions. 1. An electromyographic examination with a neurogenic bladder and crystalluria revealed increased tone of the neuromuscular structures of the lower urinary tract.

  1. Reducing the degree of impaired metabolism of mineral stone-forming salts led to the correction of electromyographic indicators of the lower urinary tract in patients with crystalluria and neurogenic urination disorders.
  2. The obtained electromyography data will allow to develop and optimize methods of treatment of neurogenic bladder and crystalluria depending on the state of tone of the neuromuscular structures of the lower urinary structures.

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Published

2024-12-23

How to Cite

Vozianov, S. O., Chernenko, V. V., Chabanov, P. V., Chernenko, D. V., Sevastyanova, N. A., Ugarov, V. Y., … Savchuk, V. Y. (2024). DYNAMICS OF CHANGES IN ELECTROMYOGRAPHY INDICATORS OF THE LOWER URINARY TRACT DEPENDING ON THE DEGREE OF DISTURBANCE IN THE METABOLISM OF MINERAL STONE-FORMING SALTS IN PATIENTS WITH NEUROGENIC URINATION DISORDERS. Achievements of Clinical and Experimental Medicine, (4), 79–83. https://doi.org/10.11603/1811-2471.2024.v.i4.15031

Issue

Section

Оригінальні дослідження