Selected methods of conservative treatment of stress urinary incontinence: current views. Part 1

Abstract

StreszczenieWspółczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny, psychologiczny i społeczny. O nietrzymaniu moczu w Polsce zaczęto mówić więcej na przestrzeniu ostatnich lat, choć problem nie jest nowy. Autorzy w niniejszej pracy podkreślają potrzebę sprecyzowania strategii profilaktyki i leczenia nietrzymania moczu. Przedstawiona praca to przegląd opublikowanych badań nad czynnikami predysponującymi do występowania nietrzymania moczu. Na podstawie dostępnego piśmiennictwa naukowego przeanalizowano również znaczenie profilaktyki u kobiet z zaburzeniami mikcji. Dotychczas przeprowadzono szereg badań dotyczących efektywności różnych form leczenia zachowawczego wysiłkowego nietrzymania moczu. Do najczęściej stosowanych metod fizjoterapeutycznych zalicza się m.in. ćwiczenia mięśni dna miednicy oraz metodę biofeedbacku. W opinii wielu autorów wymienione metody leczenia zachowawczego dają dobre efekty, lecz ze względu na różnorodność metodyczną prowadzonych form terapii nie można bezpośrednio porównać rezultatów tych obserwacji. Istnieje potrzeba sprecyzowania strategii leczenia nietrzymania moczu i zapobiegania temu schorzeniu.Słowa kluczowe: wysiłkowe nietrzymanie moczu, ćwiczenia mięśni dna miednicy, biofeedback, profilaktyka. SummaryModern society suffers from stress incontinence, which is an important medical, psychological and social problem. Stress incontinence has been discussed in Poland for the last years, but the problem is not new. The authors of this science paper emphasize the necessity for clarification of the strategy of prevention and treatment of urinary incontinence. This publication is a review of the published research concerning risk factors for the prevalence of stress incontinence. Based on the scientific literature, the importance of prevention of the urinary incontinence in women has also been analyzed. Until now, there have been numerous researches investigating the effectiveness of various forms of conservative treatment for stress urinary incontinence. The most common physiotherapy methods include exercises of the pelvic floor muscles and biofeedback. In the opinion of many authors, these methods of the conservative treatment have a beneficial effect but due to a variety of methodical approaches in the treatment you cannot directly compare the results of these observations. There is a necessity for clarification of the strategy of treatment and prevention of urinary incontinence.

Urinary incontinence in women: biofeedback as an innovative treatment method

“…That is why it is so important to mobilize women to change their lifestyle to a healthier one; to reduce body weight (especially the percentage of body fat ratio), to limit the use of stimulants, to prevent constipation and to use systematic physical activity. 11,14,73 Conclusion BF has become an increasingly popular method of UI treatment, at the same as time teaching women self-awareness of their bodies and the physiological processes taking place in them. Insufficient information on treatment options, prevention methods and possible complications resulting from not treating this embarrassing disease is worrying.…”

“…That is why it is so important to mobilize women to change their lifestyle to a healthier one; to reduce body weight (especially the percentage of body fat ratio), to limit the use of stimulants, to prevent constipation and to use systematic physical activity. 11,14,73…”

The Influence of Stochastic Resonance Whole-Body Vibration on Women over 50 Years of Age—Preliminary Studies Based on Patients’ Own Experiences

“…Urinary incontinence mostly occurs in postpartum women, menopausal women, and women older than 50 years of age, and is considered to be a basic health problem by the WHO. At present, preventive and therapeutic measures are necessary for treating urinary incontinence [19][20][21].…”

The impact of pregnancy on a woman's health - stress urinary incontinence

“…Pelvic floor muscle training acts as a prophylaxis in the fight against urinary incontinence and improves the quality of sexual life [19]. When an incident of urine loss occurs, exercise is used as therapeutic measures [20]. Initially, it is recommended to perform three series of exercises a day, with 8-12 repetitions of contractions in each series.…”