Недержание мочи и инфравезикальная обструкция: Сцилла и Харибда женской урологии. Роль методов биологической обратной связи

Недержание мочи и инфравезикальная обструкция: Сцилла и Харибда женской урологии. Роль методов биологической обратной связи

Автор: Кукушкина Л.Ю., Ромих В.В., Сивков А.В., Каприн А.Д.

Журнал: Экспериментальная и клиническая урология @ecuro

Рубрика: Нейроурология

Статья в выпуске: 3 т.17, 2024 года.

Бесплатный доступ

Высокая распространенность нарушений мочеиспускания у женщин, как молодого, так и старшего возраста, обуславливает актуальность этой медицинской и социальной проблемы. Наиболее частыми видами являются недержание мочи различной степени тяжести и функциональная инфравезикальная обструкция. Данные нарушения приводят к снижению качества жизни, психоэмоциональному дискомфорту, что обуславливает необходимость оказания таким пациенткам ранней лечебно-диагностической помощи. Лекция посвящена состоянию проблемы нарушений мочеиспускания, а также обзору основных и перспективных методов лечения. Так как в основе дисфункции мочеиспускания у женщин значительную роль играет нарушение функционирования мышц тазового дна, методы лечения этих расстройств связаны с восстановлением мышечного тонуса тренировочными или медикаментозными средствами или механической поддержкой тазовых органов хирургическими средствами. В данной лекции представлено научное обоснование клинических эффектов тренировочных техник лечения нарушений мочеиспускания. Комплексный подход, в том числе с использованием тренировочных методов, позволяет достигнуть оптимальных результатов лечения как при недержании, так и при инфравезикальной обструкции у женщин.

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Недержание мочи, тренировки мышц тазового дна, биологическая обратная связь, дисфункциональное мочеиспускание, инфравезикальная обструкция

Короткий адрес: https://sciup.org/142243277

IDR: 142243277   |   DOI: 10.29188/2222-8543-2024-17-3-68-79

Список литературы Недержание мочи и инфравезикальная обструкция: Сцилла и Харибда женской урологии. Роль методов биологической обратной связи

  • Abdel Raheem A, Madersbacher H. Voiding dysfunction in women: How to manage it correctly. Arab J Urol 2013;11(4):319-30. https://doi.org/10.1016/j.aju.2013.07.005.
  • Gormley EA, Lightner DJ, Faraday M, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol 2015;193(5):1572-80. https://doi.org/10.1016/j.juro.2015.01.087.
  • García-Sánchez E, Rubio-Arias JA, Ávila-Gandía V, Ramos-Campo DJ, López-Román. Effectiveness of pelvic floor muscle training in treating urinary incontinence in women: A current review. J Actas Urol Esp 2016;40(5):271-8. https://doi.org/10.1016/j.acuro.2015.09.001.
  • Сивков А.В., Ромих В.В. Инфравезикальная обструкция у женщин. Урология 2006;(5):90-4. [Sivkov A.V., Romikh V.V. Infravesical obstruction in women. Urologiya = Urologiia 2006;(5):90-4. (In Russian)].
  • Ермакова Е.И., Балан В.Е., Краснопольская И.В., Тихомирова Е.В. Консервативная терапия недержания мочи у женщин. Российский вестник акушера-гинеколога 2014;(4):113-5. [Ermakova E.I.,Balan V.E., Krasnopol'skaia I.V., Tikhomirova E.V. Medical therapy for female urinary incontinence. Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of Obstetrician-Gynecologis 2014;(4):113-5. (In Russian)].
  • Weber-Rajek M, Strączyńska A, Strojek K, Piekorz Z, Pilarska B, Podhorecka M, et al. A. Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in treatment of stress urinary incontinence in women: A randomized controlled trial. BioMed Res Int 2020;2020:1019872. https://doi.org/10.1155/2020/1019872.
  • Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric 2019;22(3):217-22. https://doi.org/10.1080/13697137.2018.1543263
  • Ромих В.В. Клиническая уродинамика и нейроурология: от диагностики к эффективному лечению и реабилитации. Экспериментальная и клиническая урология 2010(4):92-8. [Romih V.V. Clinical urodynamics and neurourology: from diagnosis to effective treatment and rehabilitation. Eksperimentalnaya i Klinicheskaya Urologiya = Experimental and Clinical Urology 2010(4):92-8. (In Russian)].
  • Серегин А.В., Синякова Л.А., Довлатов З.А., Матвеевская Т.А. Недержание мочи: возможности консервативной терапии. Проблемы женского здоровья 2010;5(1):74-6. [Seryogin A.V., Sinyakova L.A., Dovlatov Z.A., Matveyevskaya T.A. Urinary incontinence: opportunities of conservative treatment. Problemy zhenskogo zdorov'ya = Women's Health Issues 2010;5(1):74-6. (In Russian)].
  • Caruso S, Brescia R, Matarazzo MG, Giunta G, Rapisarda AMC, Cianci A. Effects of urinary incontinence subtypes on women's sexual function and quality of life. Urology 2017;108:59-64. https://doi.org/10.1016/j.urology.2017.06.025.
  • Sjöström M, Umefjord G, Stenlund H, Carlbring P, Andersson G, Samuelsson E. Internet-based treatment of stress urinary incontinence: 1and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training. BJU Int 2015;116(6):955-64. https://doi.org/10.1111/bju.13091.
  • Harding CK, Lapitan MC, Arlandis S, Cobussen-Boekhorst, E. Costantini, J. Groen, et. al. Management of non-neurogenic female lower urinary tract symptoms. EAU Guidelines 2022:148.
  • Flisser AJ, Blaivas JG. Using urodynamics to diagnose bladder outlet obstruction in women. Contemporary Urology 2002:223-5.
  • Mytilekas KV, Oeconomou A, Sokolakis I, Kalaitzi M, Mouzakitis G, Nakopoulou E, et al. Defining voiding dysfunction in women: bladder outflow obstruction versus detrusor underactivity. Int Neurourol J 2021;25(3):244-51. https://doi.org/10.5213/inj.2040342.171.
  • Agarwal MM, Sharma S, Jain S, Prasad D, Bhaskar V, Gupta S, et al. Can urodynamic diagnosis of dysfunctional voiding/external sphincter nonrelaxation be made on two-channel pressure-flow study without video-urodynamics, electromyography, or urethral pressure profilometry? Plateau detrusor pattern in perspective. Neurourol Urodyn 2022;41(4):935-44. https://doi.org/10.1002/nau.24897.
  • Terlikowski R, Dobrzycka B, Kinalski M, Kuryliszyn-Moskal A, Terlikowski SJ. Transvaginal electrical stimulation with surface-EMG biofeedback in managing stress urinary incontinence in women of premenopausal age: a double-blind, placebo-controlled, randomized clinical trial. Int Urogynecol J 2013;24(10):1631-8. https://doi.org/10.1007/s00192-013-2071-5.
  • Brucker BM, Fong E, Shah S, Kelly C, Rosenblum N, Nitti VW. Urodynamic differences between dysfunctional voiding and primary bladder neck obstruction in women. Urology 2012;80(1):55-60. https://doi.org/10.1016/j.urology.2012.04.011.
  • Hickling D, Aponte M, Nitti V. Evaluation and management of outlet obstruction in women without anatomical abnormalities on physical exam or cystoscopy. Curr Urol Rep 2012t;13(5):356-62. https://doi.org/10.1007/s11934-012-0267-8.
  • Vo A, Kielb SJ. Female voiding dysfunction and urinary incontinence. Med Clin North Am 2018;102(2):313-24. https://doi.org/10.1016/j.mcna.2017.10.006.
  • Imamura M, Jenkinson D, Wallace S, Buckley B, Vale L, Pickard R. Conservative treatment options for women with stress urinary incontinence: clinical update. Br J Gen Pract 2013;63(609):218-20. https://doi.org/10.3399/bjgp13X665477.
  • van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology 2023;177:60-4. https://doi.org/10.1016/j.urology.2023.03.018.
  • Petros PE. The pelvic floor muscle training manoeuvre works by increasing intraurethral resistance. Comment on «Influence of voluntary pelvic floor muscle contraction and pelvic floor muscle training on urethral closure pressures: a systematic literature review». Int Urogynecol J 2016;27(12):1943-4. https://doi.org/10.1007/s00192-016-3182-6.
  • Petros PE, Ulmsten U. An integral theory of female urinary incontinence. Acta Obstet Gynecol Scand Suppl 1990;153:7-31. https://doi.org/10.1111/j.1600-0412.1990.tb08027.x.
  • Касян Г.Р., Вишневский Д.А., Акуленко Л.В., Козлова Ю.О., Шарова Е.И., Тупикина Н.В., Пушкарь Д.Ю. Ассоциация полиморфизма 1800255 гена СОL3A1 с развитием пролапса тазовых органов и недержания мочи у женщин: предварительные данные. Урология 2017;(6):30-3. [Kasyan G.R., Vishnevskii D.A., Akulenko L.V., Kozlova Yu.O., Sharova E.I., Tupikina N.V., Pushkar D.Yu. association of polymorphism of 1800255 COL3A1. Urologiya = Urologiia 2017;(6):30-3. (In Russian)]. https://doi.org/10.18565/urology.2017.6.30-33.
  • Cacciari LP, Amorim AC, Pyssaro AC, Dumoulin C, Sacco ICN. Intravaginal pressure profile of continent and incontinent women. J Biomech 2020;99:10972. https://doi.org/10.1016/j.jbiomech.2019.10972.
  • Deindl FM, Vodusek DB, Bischoff C, Hofmann R, Hartung R. Dysfunctional voiding in women: which muscles are responsible? Br J Urol 1998;2(6):814-9. https://doi.org/10.1046/j.1464-410x.1998.00866.x.
  • Groutz A, Blaivas JG, Pies C, Sassone AM. Learned voiding dysfunction (nonneurogenic, neurogenic bladder) among adults. Neurourol Urodyn 2001;20(3):259-68. https://doi.org/10.1002/nau.1003.
  • Panicker JN, Selai C, Herve F, Rademakers K, Dmochowski R, Tarcan T, et al. Psychological comorbidities and functional neurological disorders in women with idiopathic urinary retention: International Consultation on Incontinence Research Society (ICI-RS) 2019. Neurourol Urodyn 2020;39(Suppl 3):S60-S69. https://doi.org/10.1002/nau.24233.
  • Peyronnet B, Lapitan MC, Tzelves L, O'Connor E, Nic An Riogh A, et al. Benefits and harms of conservative, pharmacological, and surgical management options for women with bladder outlet obstruction: A systematic review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus 2022;8(5):1340-61. https://doi.org/10.1016/j.euf.2021.10.006.
  • Cody JD, Jacobs ML, Richardson K, Moehrer B, Hextall A. Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database Syst Rev 2012;10(10):CD001405. https://doi.org/10.1002/14651858.CD001405.pub3.
  • Minardi D, Pellegrinelli F, Conti A, Fontana D, Mattia M, Milanese G, et al. α1Blockers for the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a prospective randomized study. Int J Urol 2015;22(1):115-21. https://doi.org/10.1111/iju.12601.
  • Ромих В.В., Захарченко А.В., Коршунова Е.С., Кукушкина Л.Ю. Использование ботулинического токсина тина А у пациентов с нейрогенными нарушениями мочеиспускания. Экспериментальная и клиническая урология 2010;(1):81-4. [Romikh V.V., Zaharchenko A.V., Korshunova E.S., Kukushkina L.U. Using of botulinum a toxin in treatment of neurogenic voiding desorders patients. Eksperimentalnaya i Klinicheskaya urologiya = Experimental and Clinical Urology 2010;(1):81-4. (In Russian)].
  • Sokol ER, Karram MM, Dmochowski R. Efficacy and safety of polyacrylamide hydrogel for the treatment of female stress incontinence: a randomized, prospective, multicenter North American study. J Urol 2014;192(3):843-9. https://doi.org/10.1016/j.juro.2014.03.109.
  • Jiang YH, Lee CL, Chen SF, Kuo HC. Therapeutic Effects of Urethral Sphincter Botulinum Toxin A Injection on Dysfunctional Voiding with Different Videourodynamic Characteristics in Non-Neurogenic Women. Toxins (Basel) 2021;13(5):362. https://doi.org/10.3390/toxins13050362.
  • Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2017;7(7):CD006375. https://doi.org/10.1002/14651858.CD006375.pub4.
  • Колотева Е.В., Чаркина О.В., Шилина А.В., Бельских О.Л. Результат использования TVT-петли при пролапсе тазовых органов, осложненном недержанием мочи. Молодежный инновационный вестник 2018;7(S1):109. [Koloteva E.V., Charkina O.V., Shilina A.V., Belskikh O.L. The result of using TVT-loop in pelvic organ prolapse complicated by urinary incontinence. Molodozhnyy innovatsionnyy vestnik 2018;7(S1):109. (In Russian)].
  • Gurol-Urganci I, Geary RS, Mamza JB, Duckett J, El-Hamamsy D, Dolan L, et al. Long-term rate of mesh sling removal following midurethral mesh sling insertion among women with stress urinary incontinence. JAMA 2018;320(16):1659-69. https://doi.org/10.1001/jama.2018.14997.
  • Fusco F, Abdel-Fattah M, Chapple CR, Creta M, La Falce S, Waltregny D, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 2017;72(4):567-91. https://doi.org/10.1016/j.eururo.2017.04.026.
  • Giarenis I, Mastoroudes H, Cardozo L, Robinson D. Rediscovery of open colposuspension as a salvage continence operation. Int Urogynecol J 2012;23(8):1117-22. https://doi.org/10.1007/s00192-012-1720-4.
  • Utomo E, Groen J, Blok BF. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction. Cochrane Database Syst Rev 2014;2014(5):CD004927. https://doi.org/10.1002/14651858.CD004927.pub4.
  • Brasure M, Fink HA, Risk M, MacDonald R, Shamliyan T, Ouellette J, et al. Chronic urinary retention: Comparative effectiveness and harms of treatments. Rockville (MD): AHRQ (US) 2014.
  • Leong BS, Mok NW. Effectiveness of a new standardized urinary continence physiotherapy program for community-dwelling older women in Hong Kong. Hong Kong Med J 2015;21(1):30-7. https://doi.org/10.12809/hkmj134185.
  • Curillo-Aguirre CA, Gea-Izquierdo E. Effectiveness of pelvic floor muscle training on quality of life in women with urinary incontinence: A systematic review and meta-analysis. Medicina (Kaunas) 2023;59(6):1004. https://doi.org/10.3390/medicina59061004.
  • Alouini S, Memic S, Couillandre A. Pelvic floor muscle training for urinary incontinence with or without biofeedback or electrostimulation in women: A systematic review. Int J Environ Res Public Health 2022;19(5):2789. https://doi.org/10.3390/ijerph19052789.
  • Rygh P, Asklund I, Samuelson E. Real-world effectiveness of app-based treatement for urinary incontinence: a cohort study. BMJ Open 2021;11(1):e040819. https://doi.org/10.1136/bmjopen-2020-040819.
  • Hoseini SS, Ghahremani L, Khorasani F, Yarelahi M, Asadollahi A. Training of pelvic floor muscle training improves the severity and quality of urine incontinence and increases social participation of older women in Southern Iran. Curr Aging Sci 2024;17(1):68-73. https://doi.org/10.2174/1874609816666230816125026.
  • Artymuk NV, Khapacheva SY. Device-assisted pelvic floor muscle postpartum exercise programme for the management of pelvic floor dysfunction after delivery. J Matern Fetal Neonatal Med 2022;35(3):481-5. https://doi.org/10.1080/14767058.2020.1723541.
  • Борисенко Л.Ю., Сивков А.В., Ромих В.В., Захарченко А.В., Пантелеев В.В., Костин А.А., Аполихин О.И. Результаты исследования метода биологической обратной связи с тестовой электростимуляцией мышц тазового дна в качестве монотерапии и в сочетании с экстракорпоральной магнитной стимуляцией мышц тазового дна при функциональной инфравезикальной обструкции у женщин. Экспериментальная и клиническая урология 2019;(2):146-51. [Borisenko L.Yu., Sivkov A.V., Romikh V.V., Zakharchenko A.V., Panteleyev V.V., Kostin A.A., Apolikhin O.I. The results of the comparative study of biofeedback with test electrostimulation of the pelvic floor muscles as monotherapy and in combination with extracorporeal magnetic stimulation of the pelvic floor muscles with functional infravesical obstruction in women. Eksperimentalnaya i Klinicheskaya Urologiya = Experimental and Clinical Urology 2019;(2):146-51. (In Russian)].
  • Lazaros T, Ioannis T, Vasileios S, Christina P, Michae S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet 2023;307(5):1489-94. https://doi.org/10.1007/s00404-023-06930-z.
  • Matsi AE, Billis E, Lampropoulou S, Xergia SA, Tsekoura M, Fousekis K. The effectiveness of pelvic floor muscle exercise with biofeedback in women with urinary incontinence: A systematic review. Appl Sci 2023;23:12743. https://doi.org/10.3390/app132312743.
  • Fitz FF, Resende AP, Stüpp L, Costa TF, Sartori MG, Girão MJ, et al. Effect the adding of biofeedback to the training of the pelvic floor muscles to treatment of stress urinary incontinence. Rev Bras Ginecol Obstet 2012;34(11):505-10. https://doi.org/10.1590/s0100-72032012001100005.
  • Ong TA, Khong SY, Ng KL, Ting JR, Kamal N, Yeoh WS, et al. Using the Vibrance Kegel Device with pelvic floor muscle exercise for stress urinary incontinence: A randomized controlled pilot study. Urology 2015;86(3):487-91. https://doi.org/10.1016/j.urology.2015.06.022.
  • Weinstein MM, Collins S, Quiroz L, Anger JT, Paraiso MFR, DeLong J, et al. Multicenter randomized controlled trial of pelvic floor muscle training with a motionbased digital therapeutic device versus pelvic floor muscle training alone for treatment of stress-predominant urinary incontinence. Female Pelvic Med Reconstr Surg 2022;28(1):1-6. https://doi.org/10.1097/SPV.0000000000001052.
  • Goulart F, Vasconcelos KS, de Souza MR, Pontes PB. Physical therapy for facial paralysis using the biofeedback. Acta Fisiátr 2002(9):134-40.
  • Firinci S, Yildiz N, Alkan H, Aybek Z. Which combination is most effective in women with idiopathic overactive bladder, including bladder training, biofeedback, and electrical stimulation? A prospective randomized controlled trial. Neurourol Urodyn 2020;39(8):2498-508. https://doi.org/10.1002/nau.24522.
  • Özengin N, Bakar Y, Özdemir C, Duran B. The comparison of EMGbiofeedback and extracorporeal magnetic innervation treatments in women with urinary incontinence. Clin Exp Obstet Gynecol 2016;43(4):550-4.
  • National Guideline Alliance UK. Urinary Incontinence and Pelvic Organ Prolapse in Women: Management 2019. [Electronic resource]. URL: www.nice.ork.uk/guidance/ng123.
  • Yoo EH, Kim YM, Kim D. Factors predicting the response to biofeedback-assisted pelvic floor muscle training for urinary incontinence. Int J Gynaecol Obstet 2011;112(3):179-81. https://doi.org/10.1016/j.ijgo.2010.09.016.
  • Sigurdardottir T, Steingrimsdottir T, Geirsson RT, Halldorsson TI, Aspelund T, Bø K. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? An assessor-blinded randomized controlled trial. Am J Obstet Gynecol 2020;222(3):247.e1-247.e8. https://doi.org/10.1016/j.ajog.2019.09.011.
  • Chiang CH, Jiang YH, Kuo HC. Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding. Sci Rep 2021;11(1):13757. https://doi.org/10.1038/s41598-021-93283-9.
  • Hagen S, Elders A, Stratton S, Sergenson N, Bugge C, Dean S, et al. Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: Multicentre randomised controlled trial. BMJ 2020;371:m3719. https://doi.org/10.1136/bmj.m3719.
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