SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed

Oscar Raúl Muñoz Ángel; Miguel Ángel Gómez; Cristian Mauricio Bedoya

doi:doi:10.11648/j.jgo.20210904.18

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SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed

Oscar Raúl Muñoz Ángel, Miguel Ángel Gómez, Cristian Mauricio Bedoya

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 4)

Received: 22 July 2021 Accepted: 16 August 2021 Published: 31 August 2021

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Abstract

The history, evolution and treatment of urinary incontinence have relevant nuances, such as the establishment of world urinary incontinence day, among others. Large studies show the psychological condition of the women who suffer from it, the high state and personal economic expenses, the medical ignorance of the importance of this pathology, even reaching the environmental topic of contamination due to the exponential increase in the consumption of diapers. This article shows that the SYCFIM hysterectomy surgical technique achieves the curative treatment of patients with stress, urgency, and mixed urinary incontinence, on the basis that the surgical technique achieves the anatomical restoration of the urethral vesicle in its original position, achieving with this, the most important causes of these incontinences disappear. It was evidenced in this study that in the early postoperative control of the SYCFIM technique it achieved the disappearance of urinary incontinence in all patients, it was also observed that after a few years some patients reported the reappearance of incontinence in patients who stopped exercising Kegel, and in the patients who resumed Kegel exercise, incontinence disappeared again, establishing that this exercise is relevant in the treatment of urinary incontinence. A small group of patients who could not or did not want to do the Kegel exercise were provided with electrostimulation equipment that is used in physiatry, achieving a positive response to the disappearance of incontinence in all these patients. And an even smaller group of patients who presented stress incontinence and if they did the Kegel exercise (confirming their tonicity by vaginal touch), the SYCFIM exercise was established (which is Kegel, only that it is performed prior to events that generate increased abdominal pressure, that is, before sneezing or before coughing, sustained Kegel must be performed, thus avoiding urine leakage), also achieved the disappearance of incontinence with this management. The evaluations of the type of incontinence that the patient presents, the postoperative evolution of the presence or absence of incontinence, and its management with the Kegel exercise were carried out by a professional psychologist. The excellent results obtained with the SYCFIM technique for stress, urge and mixed incontinence, force the urology and gynecology guild to review the traditional technique, which could even be classified as iatrogenic, since it increases two and a half times the incidence of urinary incontinence.

Published in	Journal of Gynecology and Obstetrics (Volume 9, Issue 4)
DOI	10.11648/j.jgo.20210904.18
Page(s)	132-135
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Hysterectomy, Incontinence, Urinary, Mixed, Cysto-urethro-colpus Suspension, SYCFIM, Kegel Exercise, SYCFIM Exercise

References

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[2]	Balaguero L. (1973). La histerectomía vaginal a través de los tiempos, Revista de estudios históricos informativos de la medicina, Barcelona, Centro de documentación de historia de la medicina, abril de 1973 disponible en https://dialnet.unirioja.es/servlet/articulo?codigo=4312937.
[3]	Mo Med. 2015 Nov-Dec; 112 (6): 439–442. Vaginal Hysterectomy: The Present paste, Dionysios K. Veronikis.
[4]	Altman D, Granath F, Cnattingius (2007). Histerectomía y riesgo de incontinencia urinaria de esfuerzo quirúrgica. The Lancet, 2007. 307: 1494-99.
[5]	Karin S. et al. (2014). Economic Burden of Urgency Urinary Incontinence in the United States: Systematic. February 2014 Vol. 20, No. 2. Review: https://www.jmcp.org/doi/pdf/10.18553/jmcp.2014.20.issue-2#page=19.
[6]	Rodríguez-Núñez R, Álvarez E, Salas L, González-González A. Prevalence of urinary incontinence and possible risk factors among women in our health área Servicio de Obstetricia y Ginecologia. Complexo Hospitalario de Ourense. Ourense. España. Médico de Familia. Centro de Saude Vilardevs. Ourense. España. 10.1016/S0210-573X (07)74492-1 Páginas 128-136 (Julio 2007).
[7]	Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al. (2002). The standardization of terminology in lower urinary tract function: report from the standardization subcommittee of the International Continence Society. Neurourol Urodyn 2002; 21: 167-178.
[8]	Pizzol, D. et al. (2020). Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 33: 25–35.
[9]	Mendes A, et al. (2017). Experiencias de incontinencia urinaria de mujeres adultas: una revisión sistemática de evidencia cualitativa. Afiliaciones expandir 2017-003389.
[10]	9. Minner P, (2004). Aspectos actuales en el tratamiento de la incontinencia urinaria de esfuerzo en mujeres. Economic and personal impact of fecal and urinary incontinence. Gastroenterology, 126, pp. 8-13}: http://www.scielo.org.mxscielo.php.pid2007-4085-000500411&scriptsci_arttext 2017.
[11]	Miguel Angel Jiménez Cidre, Luis López-Fando Lavalle, Cristina Quicios Dorado, Cristina de Castro Guerín, Agustín Fraile Poblador y Teodoro Mayayo Dehesa. (2006). Servicio de Urología. Hospital Ramón y Cajal. Madrid. España Arch. Esp. Urol., 59, 4 (431-439).
[12]	López-Fando Lavalle, Cristina Quicios Dorado, Cristina de Castro Guerín, Agustín Fraile Poblador y Teodoro Mayayo Dehesa. (2006). Servicio de Urología. Hospital Ramón y Cajal. Madrid. España. Urol; 59, 4 (431-439).
[13]	Fernández I, Maymo T, Berenguer A. (2000). La ecografía en el diagnóstico de la incontinencia urinaria Hospital Universitario de Getafe y Hospital Ramón y Cajal Madrid Clínicas Urológicas de la complutense, 8, 117-138, Servicio de Publicaciones. 13CM, Madrid.
[14]	Cassado, J. (2001). "Estudio ecográfico uretrovesical-introital comparativo entre mujeres con incontinencia urinaria de esfuerzo por hipermovilidad uretral y mujeres continentes. Valoración de variables ecográficas discriminatorias". Tesis doctoral. Universidad Autónoma de Barcelona. Barcelona.
[15]	Pizzoferrato AC, Fauconnier A, Bader G. Valor de la medición ecográfica de la movilidad del cuello de la vejiga en el tratamiento de la incontinencia urinaria de esfuerzo femenina. Gynecol Obstet Fertil. Enero de 2011; 39 (1): 42-8.
[16]	Eficiencia del ejercicio de Kegel evaluada mediante estudio urodinámico en pacientes con incontinencia urinaria Gutiérrez-González A, Álvarez-Tovar LM, García-Sánchez D, Pérez-Ortega R, Guillen-Lozoya AH Rev. Mex: Urol: 2019; 79 (2): pp. 1-8.
[17]	Álvarez-Tovar LM, et al. Kegel exercise efficiency evaluated through urodynamic study in patients with urinary incontinence. Rev. mex. urol. 2019, vol. 79, n. 2, e02. Epub 27-Nov-2020. ISSN 2007-4085.
[18]	Eficiencia del ejercicio de Kegel evaluada mediante estudio urodinámico en pacientes con incontinencia urinaria Gutiérrez-González A, Álvarez-Tovar LM, García-Sánchez D, Pérez-Ortega R, Guillen-Lozoya AH Rev. Mex: Urol: 2019; 79 (2): pp. 1-8.
[19]	Torquedo de la Torre F., Zarco Rodríguez J. Guide to good clinical practice in Urinary Incontinence. Atención primaria. Ed. International marketing & communication S. A. Madrid. Ministerio de sanidad y consumo y Organización médica colegial. 6-11-2019.
[20]	Leñero E, Castro R., 2 Viktrup L., Bump R. C. Neurophysiology of the lower urinary tract and urinary continence. Revista mexicana de Urología 2007; 67 (3): 154-159.
[21]	Pelvic floor muscle training for urinary incontinence in women: https://www.cochrane.org/CD005654/INCONT_pelvic-floor-muscle-training-urinary-incontinence-women 5/10/2018.

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APA Style

Oscar Raúl Muñoz Ángel, Miguel Ángel Gómez, Cristian Mauricio Bedoya. (2021). SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. Journal of Gynecology and Obstetrics, 9(4), 132-135. https://doi.org/10.11648/j.jgo.20210904.18

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ACS Style

Oscar Raúl Muñoz Ángel; Miguel Ángel Gómez; Cristian Mauricio Bedoya. SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. J. Gynecol. Obstet. 2021, 9(4), 132-135. doi: 10.11648/j.jgo.20210904.18

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AMA Style

Oscar Raúl Muñoz Ángel, Miguel Ángel Gómez, Cristian Mauricio Bedoya. SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. J Gynecol Obstet. 2021;9(4):132-135. doi: 10.11648/j.jgo.20210904.18

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@article{10.11648/j.jgo.20210904.18,
  author = {Oscar Raúl Muñoz Ángel and Miguel Ángel Gómez and Cristian Mauricio Bedoya},
  title = {SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {4},
  pages = {132-135},
  doi = {10.11648/j.jgo.20210904.18},
  url = {https://doi.org/10.11648/j.jgo.20210904.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210904.18},
  abstract = {The history, evolution and treatment of urinary incontinence have relevant nuances, such as the establishment of world urinary incontinence day, among others. Large studies show the psychological condition of the women who suffer from it, the high state and personal economic expenses, the medical ignorance of the importance of this pathology, even reaching the environmental topic of contamination due to the exponential increase in the consumption of diapers. This article shows that the SYCFIM hysterectomy surgical technique achieves the curative treatment of patients with stress, urgency, and mixed urinary incontinence, on the basis that the surgical technique achieves the anatomical restoration of the urethral vesicle in its original position, achieving with this, the most important causes of these incontinences disappear. It was evidenced in this study that in the early postoperative control of the SYCFIM technique it achieved the disappearance of urinary incontinence in all patients, it was also observed that after a few years some patients reported the reappearance of incontinence in patients who stopped exercising Kegel, and in the patients who resumed Kegel exercise, incontinence disappeared again, establishing that this exercise is relevant in the treatment of urinary incontinence. A small group of patients who could not or did not want to do the Kegel exercise were provided with electrostimulation equipment that is used in physiatry, achieving a positive response to the disappearance of incontinence in all these patients. And an even smaller group of patients who presented stress incontinence and if they did the Kegel exercise (confirming their tonicity by vaginal touch), the SYCFIM exercise was established (which is Kegel, only that it is performed prior to events that generate increased abdominal pressure, that is, before sneezing or before coughing, sustained Kegel must be performed, thus avoiding urine leakage), also achieved the disappearance of incontinence with this management. The evaluations of the type of incontinence that the patient presents, the postoperative evolution of the presence or absence of incontinence, and its management with the Kegel exercise were carried out by a professional psychologist. The excellent results obtained with the SYCFIM technique for stress, urge and mixed incontinence, force the urology and gynecology guild to review the traditional technique, which could even be classified as iatrogenic, since it increases two and a half times the incidence of urinary incontinence.},
 year = {2021}
}

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TY  - JOUR
T1  - SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed
AU  - Oscar Raúl Muñoz Ángel
AU  - Miguel Ángel Gómez
AU  - Cristian Mauricio Bedoya
Y1  - 2021/08/31
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210904.18
DO  - 10.11648/j.jgo.20210904.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210904.18
AB  - The history, evolution and treatment of urinary incontinence have relevant nuances, such as the establishment of world urinary incontinence day, among others. Large studies show the psychological condition of the women who suffer from it, the high state and personal economic expenses, the medical ignorance of the importance of this pathology, even reaching the environmental topic of contamination due to the exponential increase in the consumption of diapers. This article shows that the SYCFIM hysterectomy surgical technique achieves the curative treatment of patients with stress, urgency, and mixed urinary incontinence, on the basis that the surgical technique achieves the anatomical restoration of the urethral vesicle in its original position, achieving with this, the most important causes of these incontinences disappear. It was evidenced in this study that in the early postoperative control of the SYCFIM technique it achieved the disappearance of urinary incontinence in all patients, it was also observed that after a few years some patients reported the reappearance of incontinence in patients who stopped exercising Kegel, and in the patients who resumed Kegel exercise, incontinence disappeared again, establishing that this exercise is relevant in the treatment of urinary incontinence. A small group of patients who could not or did not want to do the Kegel exercise were provided with electrostimulation equipment that is used in physiatry, achieving a positive response to the disappearance of incontinence in all these patients. And an even smaller group of patients who presented stress incontinence and if they did the Kegel exercise (confirming their tonicity by vaginal touch), the SYCFIM exercise was established (which is Kegel, only that it is performed prior to events that generate increased abdominal pressure, that is, before sneezing or before coughing, sustained Kegel must be performed, thus avoiding urine leakage), also achieved the disappearance of incontinence with this management. The evaluations of the type of incontinence that the patient presents, the postoperative evolution of the presence or absence of incontinence, and its management with the Kegel exercise were carried out by a professional psychologist. The excellent results obtained with the SYCFIM technique for stress, urge and mixed incontinence, force the urology and gynecology guild to review the traditional technique, which could even be classified as iatrogenic, since it increases two and a half times the incidence of urinary incontinence.
VL  - 9
IS  - 4
ER  -

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Author Information

Oscar Raúl Muñoz Ángel
Miguel Ángel Gómez
Cristian Mauricio Bedoya

Protection Direction, “Institute of Family Welfare of Colombia”, Cali, Colombia

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APA Style

Oscar Raúl Muñoz Ángel, Miguel Ángel Gómez, Cristian Mauricio Bedoya. (2021). SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. Journal of Gynecology and Obstetrics, 9(4), 132-135. https://doi.org/10.11648/j.jgo.20210904.18

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ACS Style

Oscar Raúl Muñoz Ángel; Miguel Ángel Gómez; Cristian Mauricio Bedoya. SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. J. Gynecol. Obstet. 2021, 9(4), 132-135. doi: 10.11648/j.jgo.20210904.18

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AMA Style

Oscar Raúl Muñoz Ángel, Miguel Ángel Gómez, Cristian Mauricio Bedoya. SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed. J Gynecol Obstet. 2021;9(4):132-135. doi: 10.11648/j.jgo.20210904.18

Copy | Download

@article{10.11648/j.jgo.20210904.18,
  author = {Oscar Raúl Muñoz Ángel and Miguel Ángel Gómez and Cristian Mauricio Bedoya},
  title = {SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {4},
  pages = {132-135},
  doi = {10.11648/j.jgo.20210904.18},
  url = {https://doi.org/10.11648/j.jgo.20210904.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210904.18},
  abstract = {The history, evolution and treatment of urinary incontinence have relevant nuances, such as the establishment of world urinary incontinence day, among others. Large studies show the psychological condition of the women who suffer from it, the high state and personal economic expenses, the medical ignorance of the importance of this pathology, even reaching the environmental topic of contamination due to the exponential increase in the consumption of diapers. This article shows that the SYCFIM hysterectomy surgical technique achieves the curative treatment of patients with stress, urgency, and mixed urinary incontinence, on the basis that the surgical technique achieves the anatomical restoration of the urethral vesicle in its original position, achieving with this, the most important causes of these incontinences disappear. It was evidenced in this study that in the early postoperative control of the SYCFIM technique it achieved the disappearance of urinary incontinence in all patients, it was also observed that after a few years some patients reported the reappearance of incontinence in patients who stopped exercising Kegel, and in the patients who resumed Kegel exercise, incontinence disappeared again, establishing that this exercise is relevant in the treatment of urinary incontinence. A small group of patients who could not or did not want to do the Kegel exercise were provided with electrostimulation equipment that is used in physiatry, achieving a positive response to the disappearance of incontinence in all these patients. And an even smaller group of patients who presented stress incontinence and if they did the Kegel exercise (confirming their tonicity by vaginal touch), the SYCFIM exercise was established (which is Kegel, only that it is performed prior to events that generate increased abdominal pressure, that is, before sneezing or before coughing, sustained Kegel must be performed, thus avoiding urine leakage), also achieved the disappearance of incontinence with this management. The evaluations of the type of incontinence that the patient presents, the postoperative evolution of the presence or absence of incontinence, and its management with the Kegel exercise were carried out by a professional psychologist. The excellent results obtained with the SYCFIM technique for stress, urge and mixed incontinence, force the urology and gynecology guild to review the traditional technique, which could even be classified as iatrogenic, since it increases two and a half times the incidence of urinary incontinence.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - SYCFIM, Clinical Study in Patients with Stress Urinary Incontinence, Urgency and Mixed
AU  - Oscar Raúl Muñoz Ángel
AU  - Miguel Ángel Gómez
AU  - Cristian Mauricio Bedoya
Y1  - 2021/08/31
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210904.18
DO  - 10.11648/j.jgo.20210904.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210904.18
AB  - The history, evolution and treatment of urinary incontinence have relevant nuances, such as the establishment of world urinary incontinence day, among others. Large studies show the psychological condition of the women who suffer from it, the high state and personal economic expenses, the medical ignorance of the importance of this pathology, even reaching the environmental topic of contamination due to the exponential increase in the consumption of diapers. This article shows that the SYCFIM hysterectomy surgical technique achieves the curative treatment of patients with stress, urgency, and mixed urinary incontinence, on the basis that the surgical technique achieves the anatomical restoration of the urethral vesicle in its original position, achieving with this, the most important causes of these incontinences disappear. It was evidenced in this study that in the early postoperative control of the SYCFIM technique it achieved the disappearance of urinary incontinence in all patients, it was also observed that after a few years some patients reported the reappearance of incontinence in patients who stopped exercising Kegel, and in the patients who resumed Kegel exercise, incontinence disappeared again, establishing that this exercise is relevant in the treatment of urinary incontinence. A small group of patients who could not or did not want to do the Kegel exercise were provided with electrostimulation equipment that is used in physiatry, achieving a positive response to the disappearance of incontinence in all these patients. And an even smaller group of patients who presented stress incontinence and if they did the Kegel exercise (confirming their tonicity by vaginal touch), the SYCFIM exercise was established (which is Kegel, only that it is performed prior to events that generate increased abdominal pressure, that is, before sneezing or before coughing, sustained Kegel must be performed, thus avoiding urine leakage), also achieved the disappearance of incontinence with this management. The evaluations of the type of incontinence that the patient presents, the postoperative evolution of the presence or absence of incontinence, and its management with the Kegel exercise were carried out by a professional psychologist. The excellent results obtained with the SYCFIM technique for stress, urge and mixed incontinence, force the urology and gynecology guild to review the traditional technique, which could even be classified as iatrogenic, since it increases two and a half times the incidence of urinary incontinence.
VL  - 9
IS  - 4
ER  -

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