[Prevalence of urinary disorders and their relation to sexuality in women--point of view of gynecologist].

The cross-sectional study of a random sample (population of patients and healthy subjects) was performed. Questionnaire survey of 970 women aged 18 years and older in Vladimir using an Urination Disorder Questionnaire was performed. The prevalence of violations of lower urinary tract function according to incidence of outpatient visits from 03/29/11 to 01/04/11 was evaluated. According to the data of examination, urination disorders were detected in 61% of women aged 45 years and older, in 23% of respondents aged 40-45 years and in 16%--up to 40 years old. Urine collection disorders were found in 94% of women, disorders of urinary bladder emptying--in 83%, disorders after urinary bladder emptying--in 36% of patients. The most common disorders of urination were urinary incontinence--in 27% of women, and nocturia--in 19% of women. The frequency of urinary incontinence (27%) was significantly higher than the overall prevalence of overactive bladder (9%). Among women, 21% said that they have sexual problems, but 70% does not solve this problem.

[ICIQ-SF questionnaire in women with urinary incontinence].

The ICIQ-SF questionnaire is used for evaluation of clinical manifestations in patients with urinary incontinence (UI) alone and combination of UI with lower urinary tract symptoms as well as assessment of quality of life in females with UI. Our study with ICIQ-SF questionnaire showed that UI was present in 23.8% responders. UI once a week or less often was marked most frequently by 11.6% women from all the age groups. Any volume of UI was marked by 24.5% women, most frequent volumes of urine loss were 15.9% and 7.1% in all age groups. Stress UI was prevalent in all the age groups (52.6%), the rate of urgent UI declined with age of women (16.3%), mixed UI rate, on the contrary, increased with age (26.7%). Significant frequency and volume of urine loss have the highest influence on quality of everyday women's life. Mixed UI reduced quality of life more significantly than stress and urgent UI. Thus, in view of high prevalence of UI among women, low compliance of the patients, the ICIQ-SF questionnaire can be recommended to therapists, gynecologists and urologists of the outpatient clinics for detection of UI in women. Response to ICIQ-SF questionnaire is a simple, easy-to-make and cheap method of preliminary UI diagnosis and assessment of UI impact on quality of life.

[Solifenacin in the treatment of overactive bladder: results of a randomized double-blind, placebo-controlled study].

The article presents the results of the evaluation of clinical efficacy and safety of the M-cholinoblocker solifenacin in the treatment of symptoms of overactive bladder (OAB). The study included 24 women aged from 47 to 69 years with symptoms of OAB lasting more than 3 months. It is shown that solifenacin at a dose of 5 mg reduces the quality of urinary urgency, improves the condition according to assessment of degree of discomfort due to symptoms of the OAB, treatment satisfaction and condition of the bladder.