Formal differentiated approach to managing women with stress urinary incontinence

ABSTRACT The object of research: treatment of women with stress urinary incontinence (SUI). Investigated problem: substantiation of the choice of treatment methods in the management of women of different ages with SUI depending on the urogynecological status, age, financial capabilities, risk of complications and speed of achieving the desired result. The main scientific results: An approach has been developed to substantiate the most rational method of treatment of women of different ages with SUI, taking into account the provision of an adequate standard of living. It is based on the use of hierarchy analysis, which allows to determine the priorities between competing treatments - mid-urethral sling (MUS), pelvic floor muscle training (PFMT) and containment (absorbent pads). The expediency of applying a formal differentiated approach is confirmed by the results of questionnaires of representative groups of women on the technology of UDI-6 and IIQ-7 questionnaires before and after treatment. It is recommended to choose a rational method of treatment or a set of treatment methods personally depending on the urogynecological status, age, financial capabilities, risk of complications and speed of achieving the desired result. MUS has gained the highest number of points due to the short time of treatment and rehabilitation, long-term postoperative effect, accessibility, low level of complications and significant improvement of life quality in young and elderly women. The most rational method of treatment of middle-aged patients with SUI is the method of PFMT as one that has a positive impact on the life quality of women and does not require financial costs. The area of practical use of the research results: medical institutions providing urogynecological care to women. Innovative technological product: development of a formal differentiated approach to the management of women with SUI, which allows to choose the most rational method of treatment taking into account the life quality. Scope of the innovative technological product: clinical practice of treatment of women with SUI.