Clinical and anamnestic risk factors for recurrent pelvic organ prolapse
M.R. Orazov1, V.E. Radzinskiy1, F.F. Minnullina2
1Peoples’ Friendship University of Russia, Moscow
2Kazan (Volga) Federal University, Kazan
Contact details:
Minnullina F.F. — PhD (Medicine), Associate Professor, Head of the Department of Obstetrics and Gynecology at the Institute of Fundamental Medicine and Biology
Address: 18 Kremlevskaya St., 420008 Kazan, Russian Federation, tel.: +7-987-233-04-78, e-mail: minnullina_f@mail.ru
The incidence of pelvic organ prolapse (POP) in women is increasing worldwide, and experts predict that the trend will continue until 2050. The only available and effective treatment for POP is surgical correction, but it is associated with a high recurrence rate and the need for reoperation. Since it is not feasible to reduce the primary POP incidence, efforts should be directed at preventing recurrence in women with pre-existing dysfunction treated for POP. The outcome of POP surgical correction may depend on both medical tactics and clinical and anamnestic risk factors for POP recurrence.
The purpose — to analyze the data on clinical and anamnestic risk factors reliably associated with recurrent pelvic organ prolapse.
Material and methods. We analyzed the results of scientific papers published and posted in the Cochrane Library, PubMed, ELibrary, and Science Direct electronic libraries between 2014 and 2024 using the keywords: pelvic organ prolapse, risk factors, recurrence.
Conclusions. Based on the analysis, it should be noted that the available understanding of risk factors for POP recurrence is extremely insufficient and contradictory. Identification of significant risk factors of POP recurrence will allow improving preoperative preparation, choice of optimal surgical technique and further management of patients.
Key words: pelvic organ prolapse, pelvic floor muscle dysfunction, recurrence, risk factors, surgical treatment.
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