TOPICAL PROBLEMS IN UROGYNAECOLOGY. URINARY INCONTINENCE IN WOMEN (LECTURE)

Abstract

The diagnosis and treatment of urinary incontinence in women remain an important urogynaecological problem that has still not been properly investigated. Complete urinary incontinence is observed in patients with genitourinary fistulae. Partial urinary incontinence means a urinary incontinence upon exertion or stress urinary incontinence, imperative and combined urinary incontinence. Numerous factors exist that play a role in the development of urinary incontinence. The anatomical-topographic specifics of the small pelvis structure, the common blood supply and innervation, and the close functional ties allow to view the small pelvis as an integral, multi-component, complicated system in which virtually any seemingly local alterations are transformed into dysfunctions and anatomical abnormalities of adjacent organs. Successful treatment of female patients with urinary incontinence can be warranted by qualified and comprehensive medical evaluation based on a close contact with the patient, adherence to state-of-the-art diagnostic algorithms, and correct, professional implementation of instrumental methods of clinical work-up