Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press20710.17650/2222-8721-2017-7-2-54-66ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯPeripheral repetitive magnetic stimulation for the treatment of neurogenic urinary disorders: literature review and investigational studyПериферическая ритмическая магнитная стимуляция при нейрогенных расстройствах мочеиспускания: обзор литературы и результаты клинического исследованияBorodulinaI. V.БородулинаИ. В.
Russian Federation
irina.borodulina@gmail.comRachinA. P.РачинА. П.
Russian Federation
irina.borodulina@gmail.comBadalovN. G.БадаловН. Г.
Russian Federation
irina.borodulina@gmail.comGoushchaA. O.ГущаА. О.
Russian Federation
irina.borodulina@gmail.comRussian Scientific Center for Medical Rehabilitation and Balneology, Ministry of Health of RussiaФГБУ «Российский научный центр медицинской реабилитации и курортологии»Research Center of NeurologyФГБНУ «Научный центр неврологии»270920177254662809201728092017Copyright ©; 2017, Borodulina I.V., Rachin A.P., Badalov N.G., Goushcha A.O.Copyright ©; 2017, Бородулина И.В., Рачин А.П., Бадалов Н.Г., Гуща А.О.2017Borodulina I.V., Rachin A.P., Badalov N.G., Goushcha A.O.Бородулина И.В., Рачин А.П., Бадалов Н.Г., Гуща А.О.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/207

Urinary disorders caused by peripheral nervous system injury are characterized by weakness of neural control of lower urinary tract. Clinical and urodynamic examination demonstrate detrusor-hyporeflexia and its reduced contractility. Magnetic stimulation influences autonomic and somatic nerves innervating pelvic organs but the mechanism of action is still unclear. This paper presents literature review on diagnostics and treatment of neurogenic urinary disorders by using magnetic stimulation and the results of our investigational study. 7 patients with neurogenic urinary retention were included in a prospective study of peripheral repetitive magnetic stimulation. Prolonged clinical improvement during the follow-up of 3 months was observed in all patients.

Расстройства мочеиспускания, обусловленные повреждением периферической нервной системы, характеризуются ослаблением активной иннервации нижних мочевых путей. Клинико-уродинамическая картина соответствует гипорефлекторному мочевому пузырю, при котором наблюдается нарушение сократительной активности детрузора. Магнитная стимуляция оказывает воздействие на вегетативные и соматические нервные волокна, участвующие в иннервации органов малого таза, однако в настоящее время механизм действия остается неизученным. В статье представлены обзор данных литературы, касающейся диагностики и лечения нейрогенных расстройств мочеиспускания с помощью магнитной стимуляции, а также результаты собственного клинического исследования. Были выполнены обследование и наблюдение 7 пациентов с нейрогенной задержкой мочеиспускания вследствие поражения периферической нервной системы. Больным проводили процедуры периферической ритмической магнитной стимуляции ежедневно, на курс 10 сеансов. У всех пациентов наблюдался клинический результат в течение 3 мес.

 

 

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