M.S. TABAKAEVA^1, 2, M.I. BAZINA¹, T. A. SHAGEEV^1, 2, E.N. SIVOVA^1, 2, N.V. ZHIROVA¹, YU.A. BOLDYREVA^1, 2, V.O. KOBANENKO¹

 ¹Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk

²Krasnoyarsk Interregional Clinical Hospital No. 4, Krasnoyarsk

Contact details:

Tabakaeva M.S. — postgraduate student of the Department of Obstetrics and Gynecology

Address: 71 Kutuzov St., 660094 Krasnoyarsk, tel.: +7-983-610-19-23, e-mail: tabkorn@mail.ru

We analyzed clinical symptoms of pelvic organ prolapse (POP) in patients of reproductive age before and after surgical treatment with replacement by the patient’s own tissue. All patients underwent surgical anterior and posterior vaginoplasty and levator-perineoplasty with restoration of pelvic floor fascia. Four groups of symptoms were evaluated: local symptoms of the vagina, urinary tract, gastrointestinal tract and sexual function. High efficacy of surgical treatment was noted in patients who reported severe and moderate symptoms. This parameter ranged from 50 to 100% (p > 0.05). The persistence of POP manifestations after surgical treatment requires an individual approach and personalized choice of rehabilitation procedures not only in coordination with urologists and proctologists, but also taking into account the symptoms of connective tissue dysplasia.

Key words: pelvic organ prolapse, reproductive age, surgical correction, rehabilitation technologies.

REFERENCES

1. Orazov M.R., Radzinskiy V.E., Minnullina F.F. Mechanisms of pelvic organ prolapse recurrence. Prakticheskaya meditsina, 2024, vol. 22, no. 6, pp. 23–28 (in Russ.). DOI: 10.32000/2072-1757-2024-6-23-28
2. Meirmanova A.O., Omarova G.K., Begniyazova Zh.S. et al. Individual approach to surgical treatment of genital prolapse in women: comparative analysis of treatment methods and resultsa. Reproduktivnaya meditsina (Tsentral’naya Aziya), 2024, vol. 4, pp. 122–129. DOI: 10.37800/RM.4.2024.432
3. Radzinskiy V.E., Orazov M.R., Minnullina F.F. et al. Recurrent pelvic organ prolapse: from epidemiology and risk factors to modern possibilities of early verification. Klinicheskiy razbor v obshchey meditsine, 2024, vol. 5, no. 3, pp. 63–67 (in Russ.). DOI: 10.47407/kr2023.5.3.00374
4. Carroll L., O’Sullivan C., Doody C. et al. Pelvic organ prolapse: The lived experience. Plos one, 2022, vol. 17 (11), p. e 0276788. DOI: 10.1371/journal.pone.0276788
5. Zhou Q., Lu M., Li G.S. et al. Identification of potential molecular mechanisms and therapeutic targets for recurrent pelvic organ prolapse. Heliyon, 2023, vol. 9 (9), pp. e19440. DOI: 10.1016/j.heliyon.2023.e19440
6. Klinicheskie rekomendatsii “Vypadenie zhenskikh polovykh organov” [Clinical guidelines «Prolapse of female genital organs»]. Moscow, 2024.
7. Boldyreva Yu.A., Tskhay V.B., Mozheyko E.Yu. et al. Efficiency of pelvic floor muscle training after surgical correction of apical prolapse. Zhenskoe zdorov’e i reproduktsiya, 2024, vol. 4, no. 65 (in Russ.). DOI: 10.31550/2712-8598-2024-4-2-ZhZiR
8. Orazov M.R., Radzinskiy V.E., Minnullina F.F. Clinical and anamnestic risk factors for recurrent pelvic organ prolapse. Prakticheskaya meditsina, 2024, vol. 22, no. 6, pp. 18–22 (in Russ.). DOI: 10.32000/2072-1757-2024-6-18-22
9. Shi W., Guo L. Risk factors for the recurrence of pelvic organ prolapse: a meta-analysis. J. Obstet. Gynaecol, 2023, vol. 43 (1), p. 2160929. DOI: 10.1080/01443615.2022.2160929
10. Orazov M.R., Lokshin V.N., Ruzimatova Yu.I. et al. Efficiency of surgical treatment of patients with symptomatic cystocele. Klinicheskiy razbor v obshchey meditsine, 2024, vol. 5, no. 6, pp. 57–62 (in Russ.). DOI: 10.47407/kr2024.5.7.00p421
11. Tezisy XIV Obshcherossiiyskogo nauchno-prakticheskogo seminara “Reproduktivnyĭ potentsial Rossii: versii i kontraversii” i VII Obshcherossiiyskoy konferentsii “Kontraversii neonatal’noĭ meditsiny i pediatrii” (5–8 sentyabrya 2020 g., g. Sochi) [Abstracts of the XIV All-Russian scientific and practical seminar «Reproductive potential of Russia: versions and controversies» and the VII All-Russian conference «Contraversions in neonatal medicine and pediatrics» (September 5-8, 2020, Sochi)]. Moscow: Izd-vo zhurnala StatusPraesens, 2020. P. 160.
12. Pauzina O.A., Apolikhina I.A., Romanov S.V. et al. Possible risk factors for the development of postoperative pelvic organ prolapse. Effektivnaya farmakoterapiya,2023, vol. 19, no. 7, pp. 28–32 (in Russ.). DOI: 10.33978/2307-3586-2023-19-7-28-32O
13. Vishnevskaya A.S., Boldyreva Yu.A., Tskhay V.B. et al. Comparative analysis of the effectiveness of surgical methods for correcting pelvic organ prolapse: sacropexy and pectopexy. Sibirskoe meditsinskoe obozrenie, 2024, vol. 2, pp. 64–70 (in Russ.). DOI: 10.20333/25000136-2024-2-64-70
14. Smirnova A.V., Malyshkina A.I., Kolganova I.A. et al. Peculiarities of pelvic organ dysfunction before and after surgical correction in patients with genital prolapse. RMZh. Mat’ i ditya, 2022, vol. 5, no. 3, pp. 194–200 (in Russ.). DOI: 10.32364/2618-8430-2022-5-3-194-200