COMPARATIVE STUDY BETWEEN ANTI-INCONTINENCE PESSARY AND IMIPRAMINE IN TREATMENT OF STRESS INCONTINENCE | ||
| ALEXMED ePosters | ||
| Article 1, Volume 6, Issue 4, September 2024, Pages 39-40 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2024.330354.1978 | ||
| Authors | ||
| Engy Taher1; Wafaa Aboulenein2; Tamer Abd Aldayem3; Noha Salah AbdAlal Fawaz* 4 | ||
| 1Obstetrics and Gynecology Department, Faculty of Medicine, Alexandria University | ||
| 2Obstetrics and Gynecology Department, Faculty of Medicine, Alexandria University, Egypt | ||
| 3Obstetric and Gynecology department, faculty of Medicine, Alexandria University, Alexandria | ||
| 4Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University | ||
| Abstract | ||
| Stress urinary incontinence (SUI) is defined as involuntary urine leakage resulting from increased intra-abdominal pressure. Risk Factors for Urinary Incontinence Multiple risk factors may predispose a woman to urinary incontinence. Risks factors such as age, race/ethnicity, pregnancy/delivery, family history, physical activity, smoking, and obesity are commonly implicated. Urinary incontinence is also associated with pelvic floor disorders including prolapse, irritable bowel syndrome and prior pelvic surgery including hysterectomy. The female continence mechanism involves three distinct components: the internal urethral sphincter, the external urethral sphincter, and appropriate proximal urethral support. All three aspects must be present to prevent SUI Treatment Options The typical approach to treatment of SUI is a stepped care plan that starts with noninvasive behavioral modifications followed by devices and pharmacologic interventions. Surgery is the final step for women having symptoms that do not respond to initial treatment. Incontinence pessaries are silicone or rubber devices that are placed transvaginally. They are designed to support the urethra and bladder wall, increase urethral length, and provide gentle compression of the urethra against the pubic bone. Pessaryreduces and often prevents leakage when intra-abdominal pressure increases. From this position, an incontinence pessary supports the urethrovesical junction in the same way a vaginal sling implanted surgically. Imipramine is a tertiary amine tricyclic antidepressant, improve stress urinary incontinence by decreasing the contractility of bladder and increasing the urethral outlet resistance. | ||
| Keywords | ||
| Stress urinary incontinence (SUI); PESSARY; IMIPRAMINE | ||
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