medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-13-16-20medsovet-2596Research ArticleАктуальная проблемаActual problemАутологичная плазма, обогащенная тромбоцитами, в сочетании с гиалуроновой кислотой – новый метод малоинвазивного лечения стрессового недержания мочи у женщинAutologous platelet-rich plasma combined with hyaluronic acid is a new method of minimally invasive treatment of stress urinary incontinence in womenАполихинаИ. А.ApolikhinaI. A.

д.м.н., профессор, врач акушер-гинеколог высшей категории, физиотерапевт, руководитель отделения эстетической гинекологии и реабилитации;

профессор кафедры акушерства, гинекологии, перинатологии и репродуктологии ИПО

СоколоваА. В.SokolovaA. V.

врач акушер-гинеколог, аспирант отделения эстетической гинекологии и реабилитации

СаидоваА. С.SaidovaA. S.

к.м.н., врач акушер-гинеколог отделения эстетической гинекологии и реабилитации

ГорбуноваЕ. А.GorbunovaE. A.

врач акушер-гинеколог, физиотерапевт отделения эстетической гинекологии и реабилитации

ФГБУ НМИЦ АГП им. академика В.И. Кулакова Минздрава России; ИПО ФГАО ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский университет)РоссияKulakov National Medical Research Centre for Obstetrics, Gynaecology and Perinatology of the Ministry of Health of Russia; Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)Russian FederationФГБУ НМИЦ АГП им. академика В.И. Кулакова Минздрава РоссииРоссияKulakov National Medical Research Centre for Obstetrics, Gynaecology and Perinatology of the Ministry of Health of RussiaRussian Federation2018210920180131620Copyright © Аполихина И.А., Соколова А.В., Саидова А.С., Горбунова Е.А., 20182018Аполихина И.А., Соколова А.В., Саидова А.С., Горбунова Е.А.Apolikhina I.A., Sokolova A.V., Saidova A.S., Gorbunova E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2596

Стрессовое недержание мочи (НМ) является распространенным заболеванием и встречается среди женщин в два раза чаще, чем у мужчин. Причины стрессового НМ заключаются в недостаточности замыкательной функции сфинктера уретры и/или обусловлены гипермобильностью уретры, поэтому для лечения данного заболевания оправданны способы, направленные на улучшение замыкательной функции уретры, т. е. использование объемообразующих средств. Побочные эффекты и ограниченное по времени купирование симптомов НМ после введения объемообразующих средств, осложнения после хирургических операций приводят к поиску альтернативных методов лечения, способных восстановить естественный физиологический механизм удержания мочи. Результаты исследования свидетельствуют о том, что введение в периуретральную область комбинации аутологичной плазмы, обогащенной тромбоцитами, с гиалуроновой кислотой является безопасным и эффективным методом лечения стрессового НМ у женщин.

Stress urinary incontinence (SUI) is a common disease. It is 2 times more common among women than in men. The causes of SUI are the insufficiency of the closing function of the sphincter of the bladder and/or hypermobility of the urethra. For this reason, methods aimed at improving the closing function of the urethra, i.e., the use of volume-forming agents are justified for the treatment of this disease. Side effects and time-limited relief of symptoms of urinary incontinence after the application of volumeforming agents, or at the other hand complications after surgery lead to the search for alternative treatments that can restore the natural physiological mechanism of urinary retention. This study demonstrates that administration of platelet-rich autologous plasma in combination with hyaluronic acid in the periurethral region is a safe and effective method of treatment of SUI in women.

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The authors declare that there are no conflicts of interest present.