Icontinence

At present, urinary incontinence remains one of the most "sensitive" issues in Urogynecology. According to the literature on urinary incontinence affects approximately 24% of women 30 to 60 years and more than 50% of women after 60 years. K Unfortunately, many of them believe that the elderly get rid of this problem is impossible and, therefore, voluntarily segregated from society in his own apartment, depriving themselves of the opportunity to participate fully in the life society. However, recent studies suggest that in old age disease "incontinence" can either completely eliminate or significantly reduce the number of concomitant factors. It is known that Modern methods of treating urinary incontinence are divided into "conservative" and "surgical". A related site: Connecticut Senator mentions similar findings. But few of my older patients know about treatment methods aimed at exploiting their own redundantly-compensatory capacities of the human body.

To the category of such techniques include biofeedback (BFB). The basis of revolutionary methods of treatment of urinary incontinence using biofeedback devices put system of exercises for the pelvic floor muscles, developed by California gynecologist Arnold Kegel (1949) and aimed at improving their tone and the development of a strong reflex contractions in response to a sudden increase intra-abdominal pressure. The main difficulty and lack of technique Kegel is that 40 to 60% of patients are not able to isolate the cut pelvic floor muscles, especially when you consider that these muscles are anatomically hidden. Instead strengthen pelvic floor muscles, patients typically reduce antagonist muscles – the rectus abdominis muscle, gluteal, thigh muscles, even more while improving intra-abdominal pressure. As a result, such exercises are not only ineffective but also contribute to worsening of urinary incontinence. The problem of an isolated exercise various muscle groups of the pelvic floor can most effectively be solved by applying biofeedback techniques, as in this case visual information is communicated directly to the patient that makes it easy to check the correctness of the exercises.

The clinical significance of this method is, Firstly, in collaboration of patients and physicians, and, secondly, to quantify the changes in muscle tone of the pelvic floor exercises on the background with the container for measuring the rectal and vaginal pressure. Currently, for training the pelvic floor muscles using modern apparatus "Home urologist. In this case, the patient can monitor the accuracy and efficiency of its work with a manometer. Today, the method of biofeedback communication is widely used both abroad and in Russia. Indications for use of biofeedback therapy in urogynecological practice are: various types of urinary incontinence, pelvic relaxation syndrome or syndrome prolapse of the walls vagina, sexual dysfunction in women (a decrease of force orgasm, anorgasmia, vaginismus), prevention of urinary incontinence in women in the postpartum period after the pathological and traumatic childbirth. Thus, the method Biofeedback is an effective conservative treatment of all types of incontinence. One of the positive aspects of this therapy is its pathogenic orientation. The effect of biofeedback is, on the one hand, the possibility of increasing activity and contractility of any urethral sphincter, as well as in achieving its muscle hypertrophy by means of a conscious training. The results of three-dimensional ultrasound – are observed to improve blood circulation in the pelvic area. Other important advantages of the method of biofeedback are: painless and minimally invasive, no side effects, combination with any other treatments. As shown by medical practices, those of women who used for the treatment of spare capacity of the organism, just a month forever forget about the problems associated with urinary incontinence. Director of SIC regenerative medicine "SUE Intra" Peter Pomozov