REASONS FOR FAILURES OF SURGICAL TREATMENT OF WOMEN WITH URINARY INCONTINENCE
https://doi.org/10.38181/2223-2427-2021-4-33-38
Abstract
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.
About the Authors
V. V. Danilov
FSBEI HE Pacific State Medical University
Russian Federation
Russian Federation
Vadim V. Danilov – Dr. Sci., Professor of Institute of Surgery
Ostryakova District, 2, Vladivostok
I. Yu. Vol'nyh
Regional Clinical Hospital "Russian Railways-Medicine"
Russian Federation
Russian Federation
Igor Yu. Vol'nyh – PhD, Head of the Center of Urology and Lithotripsy
Verhneportovaya, 25, Vladivostok
V. V. Danilov
Medical Center “Patology of Urination”
Russian Federation
Russian Federation
Valery V. Danilov – PhD, Associate Professor, School of Biomedicine
Pos’etskaya St., 32, Vladivostok
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Review
For citations:
Danilov V.V., Vol'nyh I.Yu., Danilov V.V. REASONS FOR FAILURES OF SURGICAL TREATMENT OF WOMEN WITH URINARY INCONTINENCE. Surgical practice (Russia). 2021;(4):33-38. (In Russ.) https://doi.org/10.38181/2223-2427-2021-4-33-38
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