Demostrar beneficios del tratamiento conservador de cistocele para evitar incontinencia urinaria y cirugía en mujeres menopausias multíparas con cistocele en el Hospital Básico de Durán en el periodo enero del 2017 hasta septiembre del 2020.

Abstract

The cystocele or bladder hernia manifests as a defect of the anterior pelvic wall due to failure of the supporting structures, which can generate a multisystemic pathology with a multidisciplinary approach. This pathology is more frequently associated with multiparous women, although it has also been observed as a consequence of climacteric and aging. The research is carried out to demonstrate the benefits of an appropriate conservative treatment in early cistocele stages to avoid urinary incontinence and surgery in multiparous menopausal women with cistocele in the basic hospital of Durán in the period of january 2017 until september 2020. Descriptive and retrospective study with a sample of 86 medical records with this pathology that met the inclusion criteria of the research. Data collection was carried out using an excel 2020 form and spss version 24 statistical package. The following results were obtained: the highest number of diagnosed patients was in 2017 with 37 patients (43%), followed by 26 patients in 2018 (29%), in 2019 17 patients were registered (21%) and in 2020 until september only 6 cases were registered (7%). According to the individualized review, the cystocele stages were stage 2 in 61%, stage 3 in 18% and stage 4 in 7%, and the total sample studied in patients who underwent surgeries was 73% vs patients who did not undergo surgery in 27%. The percentage of conservative treatment most used in early stages versus cystocele surgery was the practice of Kegel exercises 19%, avoiding exercises that increase abdominal pressure 8%, surgery 73% in the total population.