Çetin ÇAM, Arman ÖZDEMİR, Ateş KARATEKE, Turhan ARAN, Bahar BAYKA

İnkontinans vakalarında şikayetlerin süresinin uzamasının pelvik taban kas aktivitelerine etkisi

Amaç: Üriner veya anal ınkontinans şikayeti olan hastalarda semptomların başlangıcından tedavi başvurusuna kadar geçen sürenin, pelvik taban kas aktiviteleri üzerine olan etkisini incelemek Materyal ve Metod: Hastanemiz ürojinekoloji polikliniğine başvuran ve üriner ve/veya anal inkontinans şikayeti olan hastalar çalışmaya dahil edildi. Hastaların vajinal ve rektal basınç değerleri ölçüldü. Pelvik taban elektromiyografi (EMG) ölçümleriyapıldı. Hastalar inkontinans süreleri 2 yıldan az olanlar ve 5 yıldan fazla olanlar olmak üzere iki gruba ayrılarak değerlendirildi. Verilerin değerlendirilmesinde independent t test, Fisher exact test kullanıldı. Bulgular ve Sonuç: Şikayetleri 2 yıldan daha az süren grupta dinlenme ve kasılma esnasında vajinal ve rektal basınçlar anlamlı olarak daha yüksek bulundu. EMG aktivitelerindeki değerler I.grupta, Il.gruba göre ortalama %64 daha yüksek gözlendi.

Anahtar Kelimeler:

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The effects of incontinence period on pelvic floor muscle activity

The Effects Of Incontinence Period On Pelvic Floor Muscle Activity Objective: to investigate the effects anal or urinary incontinence period on pelvic floor muscle activity Materials and Method: patients admitted to urugynecology outpatient clinic with urinary or anal incontinence complaint were included in this study. Vaginal and rectal pressure of these patients were measured. EMG activities were noted. Patients were divided into two groups. Cases, incontinence period less then two years formed the first group and more thanfiveyears the second group. Datas were evaluated with independnt t test and Fisher exact test. Results and Conclusions: patients in the first group had significantly higher vaginal and rectal pressure values than the second one. And in thefirst group electromyographic activities of pelvic flor muscles were 64% higher.

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