Result of non-surgical treatment of Stress urinary incontinence

Authors

  • Н.Ууганцэцэг АШУҮИС, АУС Author
  • Д.Мөнхцэцэг АШУҮИС, АУС, Эх барих эмэгтэйчүүд судлалын тэнхим Author
  • Ж.Энхцэцэг АШУҮИС, АУС, Эх барих эмэгтэйчүүд судлалын тэнхим Author

Keywords:

Stress urinary incontinence, pelvic floor muscles, obesity, intravaginal electrical stimulation, Kegel exercises, oxford scores

Abstract

Background: According to the World Health Organization, up to 95% of women have at least once time affected symptoms of urinary incontinence.1 In Moscow, only 1.5% of all women see a doctor for the cause of urinary incontinence.2 According to the European Urological Society, pelvic floor muscle strengthening exercise is the first recommended for urinary incontinence.3 According to a screening study of 236,000 women aged 20-80 in Ulaanbaatar, the prevalence of urinary incontinence was 32.2%.4 Arnold Kegel, a gynecologist in the United States, proposed the strengthening of pelvic floor muscles in 1948.5-6 In a study by Bo and Cherbourg, pelvic floor muscle exercises were found to be ineffective in 30% of cases, so intravaginal electrical stimulation was recommended. Objective: To compare the results of non-surgical treatment of Stress urinary incontinence Materials and methodology: A cohort study was conducted using an analytical research model. 70 women with Stress urinary incontinence were included in the study. Results: Out of the total number of women surveyed, 45-49 years old were more prone to stress urinary incontinence, and 87.2% were obese. Mild cases of Stress urinary incontinence are more common in the young people, while severe cases of Stress urinary incontinence are more common in older and the elderly people. When the oxford scores of vaginal muscle strength is low, tends to increase the severity of urinary incontinence. Conclusions: After electrical stimulation, Oxford scored 8.6% (n=3) with 1 point, Oxford scored 25.7% (n=9) with 2 points, Oxford scored 48.6% (n=17) with 3 points, and Oxford scored 17.1% (n=6) with 4 points. After Kegel exercise, Oxford scored 37.1% (n=13) with 1 point, 31.4% (n=11) with 2 points, 28.6% (n=10) with 3 points, and 2.9% (n=1) with 4 points. Looking at the prevalence of the two groups, electrical stimulation was more effective. (P <0.008)

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Published

2021-03-13

Issue

Section

Original Articles