Medical rehabilitation of patients with urinary incontinence

• Published in: Andrologii͡a︡ i genitalʹnai͡a︡ khirurgii͡a Vol. 19; no. 3; pp. 48 - 52
• Main Authors: Satybaldyev, Sh. R., Satybaldyeva, E. Sh, Evdokimov, V. V.
• Format: Journal Article
• Language: English; Russian
• Published: ABV-press 30.11.2018
• Subjects: medical rehabilitation; physical therapy; quality of life; urinary incontinence
• ISSN: 2070-9781; 2412-8902
• DOI: 10.17650/2070-9781-2018-19-3-48-52

The study objective is to evaluate the effectiveness of physiotherapy, therapeutic gymnastics and psychotherapy in the medical rehabilitation of patients with different types of urinary incontinence (UI). Materials and methods. In the departments of urology of the Kyrgyz Research Institute of Balneology and Rehabilitation were treated 164 patients with UI. Patients were divided into groups depending on the type of treatment: 132 patients were included in the treated group (UI developed as a complication of prostatectomy in 90 of them, as a complication of chronic cystitis – in 42), who used drug therapy and rehabilitation complexes. In 32 patients, only traditional drug therapy was performed, they formed a comparison group. Results. There was a significant improvement in the clinical characteristics: the severity of pain, frequent urination, UI decreased after rehabilitation treatment by 1.5–2.0 points, after traditional treatment – by 0.3–0.8 points. The average number of UI episodes decreased by 48 % compared to the baseline, the volume of urination increased by 37 %. Urination rate decreased by 55 %. The clinical effect of rehabilitation complexes was confirmed by subjective sensations recorded in the SF-36 questionnaire. Conclusion. Complex influence (the differentiated application of physiotherapy, physiotherapy in combination with psychotherapy, electrostimulation and magnetotherapy) caused high clinical level of rehabilitation.