PRESENT-DAY PREHOSPITAL DIAGNOSIS OF URINARY INCONTINENCE IN WOMEN OF REPRODUCTIVE AGE

Abstract

Uroflowmetry is a simple, non-invasive method that allows to evaluate the process of emptying the bladder. Uroflowmetry results depend on the detrusor's contractility, intra-abdominal pressure, the degree of cervix opening and the bladder closure, the presence of impediments for urinary outflow in the cervix and urethra. Ultrasound shows the image of the urethra throughout its length, allows us to evaluate the urethrovesical angle and determine the state of the paraurethral structures. Of 151 women surveyed after delivery, the main group consisted of 71 patients with urinary incontinence complaints, the control group included 80 patients of reproductive age with no evidence of urinary incontinence after childbirth. Urodynamic and ultrasound examination was performed at the prehospital stage. The combination of clinical research methods with uroflowmetry and ultrasound data makes it possible to really assess the condition of the lower urinary tract in women of reproductive age and to diagnose clinically mixed and stress incontinence.