STUDY OF URODYNAMIC TEST USED IN DIAGNOSIS AND ANALYSIS OF TREATMENT EFFECT IN URINE INCONTINENCE
- VernacularTitle: ШЭЭС ЗАДГАЙРАХ ШИНЖИЙГ УРОДИНАМИК ОНОШИЛГООГООР ОНОШЛОХ, ЭМЧИЛГЭЭНИЙ ҮР НӨЛӨӨГ ТООЦСОН СУДАЛГАА
- Author:
Purevjargal J
1
;
Munkhzul S
;
Gantuya S
;
Ulziisuren CH
;
Sarangoo KH
;
Munkhzul A
Author Information
1. First maternity hospital
- Publication Type:Journal Article
- Keywords:
Stress urineincontinence, Pad test, Urodynamic diagnosis
- From:Innovation
2015;9(3):28-31
- CountryMongolia
- Language:Mongolian
-
Abstract:
Urine-incontinence is most significant disease in general population its rate between 10-47%. One of the most widespreeding 10 disease’s one is incontinence in USA, In European population 17%, In Russian 16%. Stress incontinence prevalence in Mongolian women, 78.1% was urban population, 21.9% was rural. In already diagnosed population 30% of them were non-treatment group, 32.25% were underwent surgical treatment. Early diagnose, right treatment option choice, value of surgical treatment all of its result is valuable in practice. Urogynecology Division of First Maternity Hospital Of Mongolia patients who underwent urodynamic machine their economic background, etiological factors, symptoms, maternal status, gynecological check up result all of these factors were calculated by PAD- test. Positive patients diagnostic and treatment options were determined by machine. Prospective study were done within 43 women who diagnosed by urodynamic machine. We reassumed pre and post – treatment patient’s incontinence symptoms by machine. 79.3% percent of women diagnosed with stress incontinence had a history of coffee or tea usage. / p<0.01, QR=0.38/. Birth injury such as vaginal or perineal tear showed statistically significant impact on urine incontinency (82%) /p<0.04, QR=0.31/. Among the signs of urine incontinence, dribbling of urine during physical load was a statistically significant sign of stress incontinence. /p<0.04, QR=0.38/ The result of Pad test showed significantly low statistic importance compare to stress incontinence/p<0.01, QR=0.35/. The result of Pad test showed significantly low statistic importance compare to stress incontinence /p<0.01, QR=0.35/. 41/95%/ women showed normal bladder volume while 5% showed low bladder volume which is lower than 300 ml. Residual urine more than 100 ml showed statistically significant relation with stress incontinence /p<0.03, Q=0.32/. The main symptom of stress incontinence in women was urine leakage /p<0.01, Q=0.44/. Stress incontinence prevalence was 44.8% and overactive bladder was 25% in 36-55 age group. Children weight showed no impact on stress incontinence and overactive bladder. 83% of participants had birth number of ≥ 2 showing the statistical significant impact of birth number in urine incontinence (р>0.05, QR=0.8). From all participants, 60% had stress incontinence, 19% had no abnormality, 9% had overactive bladder, 7% had mixed urine incontinence, and 5% had other diseases (urethral atrophy and obstruction). From total 43 participants, 22(51%) had surgical treatment, 4(9%) had chemical treatment, 3(7%) had combined surgical and chemical treatment, and 14 (33%) had physical exercise. From 21 women who received surgical treatment, 16 had improvement and 5 had no improvement. Analyzing the treatment result of urine incontinence by questionnaire and urodynamic test showed improvement in 75 % of patients received surgical and combined surgical chemical treatment and 80% of improvement in patients received chemical and exercise treatment.High number of birth, high usage of coffee and tea, birth injury especially perineal tear are statistically significant factors of stress incontinence development.Pad test is effective test used in diagnosis, treatment planning and monitoring treatment results of urine incontinence.Urine leakage symptom occurs 44% more in women with stress incontinence. 24% of women with stress incontinence were diagnosed without abnormality by urodynamic test. Urodynamic test has a diagnostic importance in treatment planning, individual treatment choice and increase of treatment effect in urine incontinence patients.
