How to balance the treatment of stress urinary incontinence among female athletes?
| Autor: | Jacek Kociszewski, Maciej Wilczak, Paweł Rzymski, Bartłomiej Burzyński, Michalina Knapik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pessary
medicine.medical_specialty diagnostic imaging Population Rectum Urinary incontinence 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine education physiotherapy education.field_of_study Pelvic floor urinary incontinence biology business.industry Athletes General Medicine biology.organism_classification high impact training medicine.anatomical_structure Urethra athletes Vagina Physical therapy medicine.symptom business State of the Art Paper |
| Zdroj: | Archives of Medical Science : AMS |
| ISSN: | 1896-9151 1734-1922 |
| Popis: | Urinary incontinence in the general population occurs in 7% of non-pregnant women under 39 years old, 17% of those 40 to 59 years old, and 23–32% of those over 60 years old. In athletes the prevalence is higher, especially in high-impact training and gravity sports. Pelvic floor muscles (PFM) have two important roles; they serve as the support for abdominal organs and are crucial for closure of the urethra, vagina and rectum. We present the proper mechanisms of PFM caudal contractions with proper abdominal muscle control to avoid excessive intra-abdominal pressure. Pelvic floor sonography is discussed as the only objective method for pelvic floor examination among sportswomen and a tool which should be used routinely by urophysiotherapists and urogynecologists. A multidisciplinary individualized approach to stress urinary incontinence among athletes is presented including: physiotherapy, diagnostic imaging, use of a pessary, tampons, pharmacologic and surgical treatment. We present guidelines for stress urinary incontinence treatment in sportswomen of different age. |
| Databáze: | OpenAIRE |
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