HEALTH OF WOMAN. 2019.10(146): 92–96; doi 10.15574/HW.2019.146.92
Fedorova D. , Slonov М.
¹Shupyk National Medical Academy of Postgraduate Education, Kiev
²E. Berezniak Military-Diplomatic Academy, Kyiv

The objective: was to establish a rational method of treating women with stress urinary incontinence (SUI) using the Saati hierarchy method based on the choice of the best alternative among the following 3 methods: mid-urethral sling, constant use of continents, pelvic floor muscles training for at least 3 months.
Materials and methods. In the article, the method of determining hierarchies is adapted to the choice of treatment method for SUI. Based on the analysis we have selected the following options for overcoming SUI in women: constant use of continents, pelvic floor muscles training for at least 3 months, mid-urethral sling. The main effects on the patient and the process of treatment of parameters (factors) in the analysis include the duration of treatment, the duration of the effect after the end of treatment, the cost of treatment, complications of treatment, impact on the quality of life of women.
Results. The algorithms of the method of determining the hierarchies of the state of a complex system are analyzed, their features are emphasized at all stages of compilation and calculations. Analogies between the most common methods of treatment of women with SUI and complex system conditions, influential treatment parameters, and partial efficacy criteria have been made. Examples of calculations regarding the choice of treatment method of women with SUI by the algorithms for determining priorities and algorithms for determining hierarchies are given.
Conclusions. The experience of the performed calculations and the practical treatment of women with SUI allowed the authors to state in the conclusions about the sufficient accuracy and quantitative evidence of the proposed algorithms. Further refinement of the algorithmic procedure for the choice of treatment is related to the differentiation of patient groups by age, vocational guidance, previous history, etc., or even to the individualization of such choice.
Key words: stress urinary incontinence, methods of treatment, mid-urethral sling, rationalization of choice, the criterion of rationality, adjacency matrix, pairwise comparison; priorities.

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