Гиперактивный мочевой пузырь у пожилых


DOI: https://dx.doi.org/10.18565/urology.2024.4.103-109

Кривобородов Г.Г., Ефремов Н.С., Гонтарь А.А., Ширин Д.А., Ткачева О.Н.

1) Кафедра урологии и андрологии л/ф ФГАОУ ВО РНИМУ Министерства здравоохранения Российской Федерации, Москва, Россия; 2) Обособленное структурное подразделение «Российский геронтологический научно-клинический центр», Москва, Россия
Гиперактивный мочевой пузырь (ГМП) – синдром, включающий ургентность с или без ургентного недержания мочи в сочетании с учащенным мочеиспусканием и ноктурией при отсутствии инфекционно-воспалительных и других состояний, способных вызывать эти симптомы. Частота встречаемости ГМП у мужчин и женщин колеблется от 11 до 19% с тенденцией к увеличению с возрастом. ГМП значительно снижает качество жизни пациентов. При лечении ГМП у пожилых пациентов необходимо принимать во внимание сопутствующие заболевания, полипрагмазию и высокую вероятность развития когнитивного дефицита. Антихолинергические препараты следует назначать с осторожностью пожилым больным из-за риска развития когнитивных нарушений.
В литературе мало данных о возможности использования внутридетрузорных инъекций ботулинического токсина, а также тибиальной и сакральной нейромодуляций у пожилых больных с ГМП.

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Об авторах / Для корреспонденции


А в т о р д л я с в я з и: Г. Г. Кривобородов – д.м.н., заведующий отделением урологии ОСП РГНКЦ ФГАОУ ВО «РНИМУ им. Н. И. Пирогова», профессор кафедры урологии и андрологии ФГАОУ ВО «РНИМУ им. Н. И. Пирогова», Москва, Россия; e-mail: Dr.krivoborodov@yandex.ru


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