[Mixed forms of urinary incontinence in women: diagnosis and treatment].
In our clinic we encountered a mixed form of urinary incontinence (UI) in 27% patients. The urodynamic examination has detected hyperactive urinary bladder in 42.2% patients with mixed UI. The patients received conservative therapy in combination with replacement hormone therapy and exercise strengthening pelvic fundus muscles. A response was achieved in 69% cases. If the imperative component was not confirmed by urodynamic testing, the patient was treated surgically. 12 patients (21%) developed imperative disorders of voiding in early postoperative period, 8 (14%) patients' condition deteriorated. Thus, in mixed incontinence much attention should be given to clinical manifestations of the disease to avoid recurrent imperative disorders of voiding after operative treatment.
Pushkar'
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Shchaveleva
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D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000628:therapy*; D014563:Urodynamics