spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2021-4-33-38spractice-264Research ArticleСтатьиПРИЧИНЫ НЕУДАЧ ОПЕРАТИВНОГО ЛЕЧЕНИЯ ЖЕНЩИН С НЕДЕРЖАНИЕМ МОЧИREASONS FOR FAILURES OF SURGICAL TREATMENT OF WOMEN WITH URINARY INCONTINENCEhttps://orcid.org/0000-0001-6119-6439ДаниловВ. В.DanilovV. V.

Данилов Вадим Валериевич – д.м.н., профессор института хирургии

пр-т Острякова, д. 2., Владивосток

Vadim V. Danilov – Dr. Sci., Professor of Institute of Surgery

Ostryakova District, 2, Vladivostok

va-dim.danilov.60@list.ruhttps://orcid.org/0000-0002-6151-2953ВольныхИ. Ю.Vol'nyhI. Yu.

Вольных Игорь Юрьевич – к.м.н., заведующий центром урологии и литотрипсии

ул. Вехнепортовая д. 25, Владивосток

Igor Yu. Vol'nyh – PhD, Head of the Center of Urology and Lithotripsy

Verhneportovaya, 25, Vladivostok

volnykh_igor@mail.ruhttps://orcid.org/0000-0003-2320-1406ДаниловВ. В.DanilovV. V.

Данилов Валерий Вадимович – к.м.н., доцент школы биомедицины

ул. Посьетская, д. 32., Владивосток

Valery V. Danilov – PhD, Associate Professor, School of Biomedicine

Pos’etskaya St., 32, Vladivostok

vesta1983@mail.ruИнститут хирургии тихоокеанского государственного медицинского университетаРоссияFSBEI HE Pacific State Medical UniversityRussian FederationЦентр урологии и литотрипсии КБ РЖД- МедицинаРоссияRegional Clinical Hospital "Russian Railways-Medicine"Russian FederationЦентр "Патология мочеиспускания"РоссияMedical Center “Patology of Urination”Russian Federation202117122021043338Copyright © Данилов В.В., Вольных И.Ю., Данилов В.В., 20212021Данилов В.В., Вольных И.Ю., Данилов В.В.Danilov V.V., Vol'nyh I.Y., Danilov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/264

Аnalysis of literature sources devoted to synthetic sling operations shows that it is not possible to achieve 100% of the result. In addition, the catamnestic effectiveness of surgical correction has been steadily decreasing over the years and after a few years is estimated at about 70%, regardless of the type of intervention, the method of implantation and the properties of the synthetic material used for loop plastic surgery. At the same time, there are a number of works whose results contradict the generally accepted mechanistic point of view about the effects resulting from the implantation of the tape. At the same time, consideration of the problem from the standpoint of the neurophysiological model of the neuroregulatory theory eliminates contradictions and makes it possible to explain the restoration of urine retention after surgery due to the activation of the urethro-sphincter protective reflex. The same approach provides a logical explanation for failures when performing a synthetic sling operation.

Аnalysis of literature sources devoted to synthetic sling operations shows that it is not possible to achieve 100% of the result. In addition, the catamnestic effectiveness of surgical correction has been steadily decreasing over the years and after a few years is estimated at about 70%, regardless of the type of intervention, the method of implantation and the properties of the synthetic material used for loop plastic surgery. At the same time, there are a number of works whose results contradict the generally accepted mechanistic point of view about the effects resulting from the implantation of the tape. At the same time, consideration of the problem from the standpoint of the neurophysiological model of the neuroregulatory theory eliminates contradictions and makes it possible to explain the restoration of urine retention after surgery due to the activation of the urethro-sphincter protective reflex. The same approach provides a logical explanation for failures when performing a synthetic sling operation.

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The authors declare that there are no conflicts of interest present.