Urinary incontinence and bladder outlet obstruction: Scylla and Charybdis of female urology. The role of biofeedback methods

The high prevalence of urination disorders in women, both young and old, determines the relevance of this medical and social problem. The most common types are urinary incontinence of varying severity and functional bladder outlet obstruction (BOO). These disorders decrease the quality of life, lead to psycho-emotional discomfort, which determines the need to provide such patients with early medical and diagnostic care. The lecture is devoted to the state of the problem of urination disorders, as well as an overview of the main and promising methods of treatment. Since dysfunction of the pelvic floor muscles plays a significant role in the basis of urination dysfunction in women, methods of treating these disorders are associated with the restoration of muscle tone by training or medication, or mechanical support of the pelvic organs by surgical means. This lecture presents the scientific rationale for the clinical effects of training techniques for the treatment of urination disorders. An integrated approach, including the use of training methods, allows achieving optimal treatment results for both incontinence and bladder outlet obstruction in women.