Abstract

The objective: was to increase the effectiveness of treatment of patients with a hyperactive bladder and hypokinetic tone of detrusor (muscle – urine ejector) and combined neurogenic pathology of the distal colon. Materials and methods. Complex diagnostics and conservative treatment of patients with hyperactive bladder and hypokinetic tone of detrusor and combined pathology of the distal colon were performed in 36 (53%) women and 32 (47%) men. The average age of women was 43.4±2.1 years, men – 39.8± .9 years. The duration of the disease in women was 19.7±1.5 months, in men – 22.4±1.8 months. Efficacy was assessed by electromyography. Results. It has been established that electromyography reflects the functional state of the urinary tract and distal parts of the colon at their combined pathology. Conservative treatment of patients of this category with the help of stimulation by electro stimulation was effective. Conclusion. Complex conservative treatment of patients with a hyperactive bladder and hypotonic tonus detrusor and combined pathology of the distal colon is effective, which is confirmed by electromyographic control according to the results of treatment. Key words: neurogenic disorders of urination, detrusor, electromyography.

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