Nonsurgical treatment methods in urinary incontinence
M. Moga, A. Cosmuta, C. Arvatescu, L. acea, A. Mironescu, I. Samotă
Abstract: While the young patients are predominant affected by stress urinary incontinence, on as you age, the causes of urinary
incontinence include-menopausal hypoestrogenism and any vegetative and neuro-psychiatric disorders, generating a new
pathologic entity - overactive bladder. Diagnosis urinary dyssynergia component (urodynamic studies, cistomanomentrie,
cystoscopy, etc.) can avoid surgery that would enhance urinary incontinence. Treatment options for this disease are nonsurgical
and are designed to prevent involuntary loss of urine. The non-surgical treatment is perfectly indicated and effective
on overactive bladder. The aim of this study is to analyze the importance and effectiveness of non-surgical methods of
treatment of urinary incontinence caused by overactive bladder. We considered the following entities: behavioral changes,
Kegel perineal exercises, biofeedback, electrical stimulation, bladder exercise (bladder “re-education”), vaginal cones, devices
to maintain continence and pharmacological therapy, including treatment with botulinum toxin A and injection agencies
for volume effect. Both micturition behavior modification with bladder “re-education” and Kegel exercises combined with
bio-feedback, behavior changes and vaginal cones reported less incontinence and improved quality of life. Postmenopausal
women should not receive oral hormonal therapy because it worses symptoms in women with incontinence and in those
initial continent, increases the risk of this condition. But topical administration of estrogen has improved UI symptoms.
DOI:10.18643/gieu.2016.39