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1
(Levator Ani) , – – Obturator . – Coccygeus – Pyriformis . :
2
, . , . , .
3
- - '
, :
Stress Urinary Incontinenc – , : , , , '. , 40 , . " . – 40-50% 5-10% . - . , .
4
- , , () . . , . – ( ). ( ) . ( , '). . , . . , . . . , , . .
5
1. . .
. . . – 30-50% " .
2. – Yantreve. 2006 SNRI . " Norepinephrine – Serotonine . ", () . , 50-60% . , , .
3. (Bulking Agents) – , , . . . – , Teflon . – . , . " – Zuidex , , . , ' , . - 70% . , . . :
6
4. "" - – 1996, . .
TVT - – TVT - Tension free Vaginal Tape, () . , . , ( – 2 ") . . , , . , , , . 85-90%. – TVT .
7
TOT - - 2000 – TVT , (Obturator membrane) . , . , – TVT. TOT (Trans Obturator Tape). TOT , : TOT ' Porges , TVT-O ' J & J , Monarch ' AMS , Anterior IVS ' Tyco . " TOT.
8
Burch, MMK5. - . () . " , ( ), 85-90% . – , . - , . , (: , ').
, .. – Burch .
BURCH
9
6. – Pubo - vaginal sling . " , . (Rectus fascia sling) (Fascia lata sling) . , . , , .
- - '
Urge Incontinence – . , , . , . " , (). , . – 50% , . . , " . , , . ().
10
" .
( , '), .
, , . , , '.
(Novitropan) - 5 " X2 – X3 . Oxybutinine , . , .
(Detrusitol) , . 2 4 " , . : , ', .
(Lyrinel) (Oxybutynine) . , . 5 10 ".
(Spasmex) " ( ) .
11
. , .
. (Sacral Neuromodulation) (Botox) . , , .
- Mixed Incontinence – ( "). " , , , .
- Overflow incontinence . (: ) , (: ). , . , " .
Continuous Incontinence - , . . (urethral sphincter) ( fistulae). " .
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(Pessary)
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18
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, . , ' AMS ' Johnson & Johnson . ' AMS Perigee – Apogee . ( ).
19
20
– Ischiorectal fossa – Ischiac spine . Apogee .
21
Perigee – 4 .
- ,
22
– - Johnson & Johnson Prolift , , . Polypropilene – Ischiorectal Fossa – Obturator Membrane . AMS – Perigee – Apogee , Bard Avulta . , .
23
24
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Prolift
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