Combination therapy for enuresis in adolescent girls
Objective. To evaluate the efficiency of vibromagnetic impact on the pelvic floor area in treating enuresis in adolescent girls.Apolikhina I.A., Ziganshin A.M., Bolotova N.V., Raigorodsky Yu.M., Timofeeva S.V.
Material and methods. This group included 36 adolescent girls suffering from involuntary urination during sleep (enuresis).
Results. Combination treatment with medications and physiotherapy for enuresis in children allowed efficiency achievement in 52.3% of cases versus the comparison group in which drug therapy with M-choline antagonists (driptan) eliminated the symptoms of urinary incontinence in 26.6% of cases. This drug’s dosage was given twice less than usual.
Conclusion. Therapy of enuresis in children can be performed with driptan, but the presence of side effects, such as constipation, dry mouth, palpitations, and a higher risk of diabetes insipidus, limits its use in children and adolescents. Combination treatment with medication and physiotherapy enables reductions in the dose of the drug and in its adverse reactions on the body, which can serve as the basis for recommendations for this therapy option at the facilities at all levels, in the presence of indications for and in the absence of contraindications to physiotherapy.
Keywords
enuresis
urinary incontinence
physiotherapy
Supplementary Materials
- Fig. 1. Physiotherapeutic effect of the AVIM-1 apparatus on the pelvic organs of girls
- Fig. 2. Dynamics of the average-effective volume (Vsp) of the bladder with the use of various treatment options
- Fig. 3. Parameters of peak systolic blood flow velocity in blood vessels m. levator ani
- Fig. 4. Parameters of peak systolic blood flow velocity in vessels of pubic-coccygeal muscles (M. pubococcygeus)
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Received 23.11.2016
Accepted 23.12.2016
About the Authors
Apolikhina Inna Anatolievna, MD, Head of the Department of Aesthetic Gynecology and Rehabilitation, Research Center of Obstetrics, Gynecology, and Perinatology,Ministry of Health of Russia; Professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology, I.M. Sechenov
First Moscow State Medical University, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: i_apolikhina@oparina4.ru
Ziganshin Aydar Mindiyarovich, Ph.D., assistant professor of Obstetrics and Gynecology Department, Bashkir State Medical University, Ministry of Health of Russia.
450008, Russia, Ufa, Lenina str. 3. Tel.: +73472724173. E-mail: Zigaidar@yandex.ru. ORCID ID 0000-0001-5474-1080
Bolotova Nina Viktorovna, MD, Professor of the Department of Propaedeutics of Childhood Illnesses, Pediatric Endocrinology and Diabetology, V.I. Razumovsky
Saratov State Medical University, Ministry of Health of Russia. 410012, Russia, Saratov, B. Kazachya str. 112. Tel.: +78452525227. E-mail: Kafedranv@mail.ru
Yury Raigorodsky, Ph.D., General Director of OOO TRIMA. 410033, Russia, Saratov, Panfilova str. 1. Tel.: +78452340011. E-mail: trima@trima.ru
Timofeeva Svetlana Vladimirovna, Candidate of Medical Science, Assistant of the Department of Propaedeutics of Childhood Illnesses, Pediatric Endocrinology and Diabetology, V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia. 410012, Russia, Saratov, B. Kazachya str. 112. Tel.: +79172028509. E-mail: svetlana-lazebnikova@yandex.ru
For citations: Apolikhina I.A., Ziganshin A.M., Bolotova N.V., Raigorodsky Yu.M., Timofeeva S.V. Combination therapy for enuresis in adolescent girls. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (9): 121-6. (in Russian)
http://dx.doi.org/10.18565/aig.2017.9.121-6
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