On appointment of M-cholinolytics after synthetic sling operation in women

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Abstract

A group of patients (123 women, mean age 54 years) with urinary incontinence under tension, who had undergone surgery of a trocar synthetic sling earlier after the examination and conservative preparatory treatment, was under observation. In the postoperative period, a subgroup of women (28 patients, 24% of the total number of operated patients) was allocated, who underwent conservative treatment in connection with the onset of the syndrome of a hyperactive bladder. For therapy, a combination of drugs with the appointment of M-cholinolytics trospii chloridum (Spasmex®) and α1-adrenoblocker was chosen. As a result, correction of urinary disorders occurred. According to the neurophysiological model, the appointment of M-cholinolytics for a long period is completely justified and safe provided there is no infravesical obstruction.

About the authors

V. V Danilov

Pacific State Medical University Ministry of Health of the Russian Federation

Email: vadim_danilov@list.ru
д-р мед. наук, проф. Института хирургии ФГБОУ ВО ТГМУ 690002, Russian Federation, Vladivostok, pr-t Ostriakova, d. 2

I. Yu Volnykh

Branch Hospital at the Station of Vladivostok

канд. мед. наук, зав. центром урологии и литотрипсии НУЗ «ОКБ на ст. Владивосток» 690003, Russian Federation, Vladivostok, ul. Verkhneportovaia, d. 25

Val. V Danilov

Center Pathology of Urination

канд. мед. наук, врач-невролог, Центр «Патология мочеиспускания» 690091, Russian Federation, Vladivostok, ul. Posetskaia, d. 32

Vit. V Danilov

Pacific State Medical University Ministry of Health of the Russian Federation

студент 6-го курса ФГБОУ ВО ТГМУ 690002, Russian Federation, Vladivostok, pr-t Ostriakova, d. 2

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