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Effect of hyaluronate-containing preparations on certain parameters of urogenital organs statics disorders in women

Janina Markowska1, Beata Sterlińska-Tulimowska2

Affiliacja i adres do korespondencji
Curr Gynecol Oncol 2016, 14 (2), p. 97–103
DOI: 10.15557/CGO.2016.0011
Streszczenie

Urogenital organs statics disorders affect approximately 30–75% of women; their incidence increases with age. Among various causes, the generally recognized ones are deliveries experiences in the past, excessive physical effort, age-related estrogen deficiency, previous treatment, including irradiation (brachytherapy) – mainly due to uterine tumors. Dysfunctions in statics usually involve two anatomically and developmentally related systems: the reproductive system and the urinary system. In gynecologic practice, the most common pathologies involve a lowering the anterior vaginal wall (cystocele), stress urinary incontinence and polyuria. Study encompassed 78 women, aged 50 to 76, 11 of whom experienced earlier endometrial cancer and nine of whom were also subjected to brachytherapy. In 63 women OB intravaginal tampons were applied for three months, covered with a gel or cream containing hyaluronic acid; in some of them additionally estriolcontaining ointment was applied twice a week. Some women (15) were exclusively recommended to do the Kegel exercises. Evaluation of stress urinary incontinence as well as polyuria and nocturia was conducted 3 and 6 months after tampons stopped to be applied. The application of tampons covered with hyaluronic acid-containing preparations was found to reduce significantly the symptoms of stress urinary incontinence and polyuria and the symptoms of cystocele. The presented method is simple and evidently effective.

Słowa kluczowe
stress urinary incontinence, polyuria, cystocele, Kegel exercises, hyaluronic acid