ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE

Aim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment...

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Main Authors: IGOR A. Eizenakh, VADIM G. Mozes, VERONIKA V. Vlasova, KIRA B. Mozes
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2019-03-01
Series:Фундаментальная и клиническая медицина
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Online Access:https://fcm.kemsmu.ru/jour/article/view/127
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author IGOR A. Eizenakh
VADIM G. Mozes
VERONIKA V. Vlasova
KIRA B. Mozes
author_facet IGOR A. Eizenakh
VADIM G. Mozes
VERONIKA V. Vlasova
KIRA B. Mozes
author_sort IGOR A. Eizenakh
collection DOAJ
description Aim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment. Of these, 63 patients having stress urinary incontinence according to the cough test were randomized to undergo either one-stage (n = 31) or two-stage (n = 32) vaginoplasty and suburethral sling placement (3 months after the vaginoplasty). The primary outcome was the frequency of complaints on stress urinary incontinence after 4 months of follow-up. Secondary outcomes included prevalence of postoperative complications, cough test results, score of Incontinence Impact Questionnaire, Short Form (IIQ-7), and degree of prolapse (Pelvic Organ Prolapse Quantifications System). Results. Both surgical approaches did not differ in prevalence of early postoperative complications and long-term treatment outcomes. Conclusions. One-stage and two-stage vaginoplasty and suburethral sling placement have equal efficiency in treating the patients with pelvic organ prolapse combined with stress urinary incontinence.
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publishDate 2019-03-01
publisher Kemerovo State Medical University
record_format Article
series Фундаментальная и клиническая медицина
spelling doaj-art-4dc774370fff49de8a1274969121ea622025-08-20T03:42:38ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412019-03-01412228126ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCEIGOR A. Eizenakh0VADIM G. Mozes1VERONIKA V. Vlasova2KIRA B. Mozes3Novokuznetsk City Clinical Hospital № 1Kemerovo State Medical UniversityBelyaev Kemerovo Regional Clinical HospitalKemerovo State Medical UniversityAim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment. Of these, 63 patients having stress urinary incontinence according to the cough test were randomized to undergo either one-stage (n = 31) or two-stage (n = 32) vaginoplasty and suburethral sling placement (3 months after the vaginoplasty). The primary outcome was the frequency of complaints on stress urinary incontinence after 4 months of follow-up. Secondary outcomes included prevalence of postoperative complications, cough test results, score of Incontinence Impact Questionnaire, Short Form (IIQ-7), and degree of prolapse (Pelvic Organ Prolapse Quantifications System). Results. Both surgical approaches did not differ in prevalence of early postoperative complications and long-term treatment outcomes. Conclusions. One-stage and two-stage vaginoplasty and suburethral sling placement have equal efficiency in treating the patients with pelvic organ prolapse combined with stress urinary incontinence.https://fcm.kemsmu.ru/jour/article/view/127пролапс тазового днасимультанные операцииpelvic floor prolapsesimultaneous operations
spellingShingle IGOR A. Eizenakh
VADIM G. Mozes
VERONIKA V. Vlasova
KIRA B. Mozes
ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
Фундаментальная и клиническая медицина
пролапс тазового дна
симультанные операции
pelvic floor prolapse
simultaneous operations
title ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
title_full ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
title_fullStr ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
title_full_unstemmed ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
title_short ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
title_sort one stage and two stage surgical treatment of the pelvic organ prolapse combined with stress urinary incontinence
topic пролапс тазового дна
симультанные операции
pelvic floor prolapse
simultaneous operations
url https://fcm.kemsmu.ru/jour/article/view/127
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