Urination disorders after childbirth: treatment methods

Various types of urination disorders in women, including urinary incontinence, represent a major social and economic problem. Most researchers connect urination disorders development in women of reproductive age with pregnancy and childbirth. According to a number of authors during this physiological period of woman's life stress urinary incontinence comprises from 30 to 85%, pollakiuria, nycturia and urgency - from 22 to 96%, and urge urinary incontinence - from 4 to 13% cases. Objective. Our study was conducted on the basis of obstetrics and gynecology department of N.I.Pirogov RNRMU medical faculty. The aim of the study was to determine the frequency of various urination disturbances development depending on the number of childbirth and delivery method and to evaluate effectiveness of M-cholinolytic (trospium chloride) use in postpartum women. Materials and methods. The study included 42 patients with symptoms of stress urinary incontinence, overactive bladder and mixed incontinence. The patients had either operative or vaginal delivery. Some of the patients received treatment with trospium chloride, in others follow-up was performed. Urination disorders symptoms were reassessed after 2 and 4 months of treatment. Conclusion. After treatment with trospium chloride (if there were no contraindications for its use) a 2-fold decrease of urination disorders incidence was observed after 2 months and a 3.3-fold decrease - after 4 months of treatment due to overactive bladder symptoms reduction. Discussion. Trospium chloride can be recommended for use in postpartum patients who do not breastfeed because of whatever reason and have symptoms of overactive bladder and mixed incontinence. This medication use allows to significantly increase quality of life in postpartum patients.

stress urinary incontinence, overactive bladder, mixed urination type, operative delivery, vaginal delivery