A.G. IMELBAEVA, I.I. MUSIN, A.G. YASHCHUK

Bashkir State Medical University, 3 Lenina Str., Ufa, Russian Federation, 450000

Imelbaeva A.G. — Assistant of the Department of Obstetrics and Gynecology No.2, tel. +7-917-777-40-06, e-mail: albina321093@rambler.ru

Musin I.I. — Cand. Med. Sc., Assistant of the Department of Obstetrics and Gynecology No. 2, tel. +7-917-467-10-64, e-mail: Ilnur-musin@yandex.ru

Yashchuk A.G. — D. Med. Sc., Professor, Head of the Department of Obstetrics and Gynecology No.2, tel. +7-347-364-96-50, e-mail: alfiya_galimovna@mail.ru

The results of studying the histological features of uterine ligaments in women with prolapse of genitalia and without prolapse are presented. The material of the biopsy samples of the sacro-uterine and round ligament of the uterus was analyzed in 30 women (age from 50 to 72 years) taken during a vaginal hysterectomy. Morphological study revealed that with genital prolapse there are signs of fibrotic, inflammatory, destructive changes, development of connective tissue.

Key words: loss and ptosis of the internal genitals, sacral-uterine and round ligament of uterus, menopause.

REFERENCES

1. Swift S., Woodman P., O’Boyle A., Kahn M., Valley M., Bland D., Wang W., Schaffer J. Pelvic organ supportstudy (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol, 2005, vol. 192, no. 3, pp. 795–806.
2. Klutke J., Ji Q., Campeau J. et al. (2008) Decreased endopelvic fascia elastin content in uterine prolapse. Acta Obstet Gynecol Scand., 87:111–115.
3. Stothers L., Friedman B. Risk factors for the development of stress urinary incontinence in women. Urol. Rep, 2011, vol. 12, no. 5, rr. 363–369.
4. Radzinskiy V.E., Shalaev O.N., Plaksina N.D. et al. Experience in reconstruction of the pelvic floor in genital prolapse with the use of the PROFLIT. akush. i zhen. bolezney, 2006, special issue, no. 6, pp. 84–93 (in Russ.).
5. Drutz H.P., Alarab M. (2006) Pelvic organ prolapse: demographics and future growth prospects. IntUrogynecol J Pelvic Floor Dysfunct., 17(Suppl 1): S6—S9.
6. Smolnova T.U. Clinico-pathological aspects of female genital prolapsed and pelvical structures pathology in women with connective tissue dysplasia. Thesis. Moscow, 2009. P. 221.
7. Duru C., Jha S., Lashen H. Urodynamic outcomes after hysterectomy for benign conditions: A systematic review and meta-analysis . Gynecol Surv, 2012, vol. 67, no. 1, rr. 45–54.
8. Tennstedt S.L., Fitzgerald M.P. Quality of life in women with stress urinary incontinence. Urogynecol. J. Pelvic Floor Dysfunct, 2007, vol. 18, no. 5, rr. 543–549.