Asunto(s)
Pesarios , Incontinencia Urinaria de Esfuerzo/terapia , Femenino , Humanos , Persona de Mediana EdadAsunto(s)
Oxifenonio/administración & dosificación , Papaverina/administración & dosificación , Compuestos de Sulfonio/administración & dosificación , Incontinencia Urinaria de Esfuerzo/tratamiento farmacológico , Quimioterapia Combinada , Femenino , Humanos , Persona de Mediana Edad , Oxifenonio/uso terapéutico , Papaverina/uso terapéutico , Compuestos de Sulfonio/uso terapéuticoRESUMEN
The authors applied the Atropine test in 28 patients with the motor type of urgent incontinence in an attempt to establish the prognosis of the success of treatment with parasymthatholytics. Atropine was administered in amounts of 0.01 mg/kg body weight by the i.m. route and after 30 mins. a urodynamic control examination was made. The assumption that a reduced frequency or amplitude of detrusor contractions will occur or that they will disappear in patients, where subsequent treatment with parasympatholytics will be successful, was not confirmed. The patients were subsequently treated by a combination of dilthiazem (Diacordin), 3 X 30 mg by the oral route per day and oxyphenonium (Oxyphenon dupl.) 2 X 10 mg by the oral route per day. After evaluation of the therapeutic results the group was divided into two sub-groups. The first one comprised patients where during the urodynamic check-up examination a drop of the intracystic pressure occurred after Atropine administration. The second group comprised patients where the drop of intracystic pressure did not occur. The therapeutic effect in these groups was evaluated separately. In the course of treatment there was a relatively high percentage of undesirable side-effects of the drugs in 43% of the patients. After the general evaluation of the therapeutic effect when the patients had no complaints or improved markedly in 70.4% there were no marked differences between the sub-groups.
Asunto(s)
Atropina , Diltiazem/administración & dosificación , Oxifenonio/administración & dosificación , Incontinencia Urinaria de Esfuerzo/tratamiento farmacológico , Urodinámica/efectos de los fármacos , Diltiazem/uso terapéutico , Quimioterapia Combinada , Femenino , Humanos , Persona de Mediana Edad , Oxifenonio/uso terapéutico , Incontinencia Urinaria de Esfuerzo/fisiopatologíaAsunto(s)
Cuello del Útero/anomalías , Terapia por Láser , Adulto , Cuello del Útero/cirugía , Femenino , HumanosAsunto(s)
Incontinencia Urinaria/rehabilitación , Adulto , Femenino , Humanos , Métodos , Persona de Mediana Edad , Cooperación del Paciente , MicciónRESUMEN
Anamnestic and urodynamical results are evaluated before and after bladder retraining drill (BRD) in women suffering from urge incontinence. A continence rate of 74% was determined 6 to 24 months after BRD. This agrees with dates reported by literature. Urodynamically we obtained an improvement of cystometric parameters (even in parts statistically significant). The values of the urethrocystographic angles and the urinary flow rate have been not changed. We could state that the BRD is a good possibility to realize multistep-therapy of female incontinence.