Wytyczne postępowania w nietrzymaniu moczu u kobiet

Renata Banach

Summary
Woman´s urinary incontinence is a common disorder, unfortunately bashfully hid in general. That´s why it isn´t often treated or the therapy is engaged too late, what leads to complications, both organic and mental nature. Currently observed world demographical changes show clearly tendency to societies´ senescence. Thus we can predict that the number of woman-patients with urinary incontinence will increase. In the urinary incontinence therapy, especially in stress incontinence, operative methods come to the fore. The preservative treatment may by helpful in early stage of disease (duloxetine and hormonal replacement therapy), but after some time the ailments return and have a tendency to intensification. Some hopes in pharmacological treatment of patients with detrusor hyperreflexia are connected with new drugs – resiniferatoxin. Operative technique choice is not easy. Nevertheless, currently the mini-invasive techniques (especially tension-free vaginal tape technique) are methods of choice. They are very effective, well-tolerated, complications are rare and not dangerous in general.

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