А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study
Aim. To improve reproductive health and quality of life of patients with genital prolapse combined with elongation, cicatricial deformation of the cervix. Materials and methods. The study included 43 patients with genital prolapse of grades I–II according to the POP-Q classification in combinatio...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IP Berlin A.V.
2024-12-01
|
| Series: | Гинекология |
| Subjects: | |
| Online Access: | https://gynecology.orscience.ru/2079-5831/article/viewFile/635272/pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832592028816375808 |
|---|---|
| author | Albina Kh. Karanasheva Yulia E. Dobrokhotova |
| author_facet | Albina Kh. Karanasheva Yulia E. Dobrokhotova |
| author_sort | Albina Kh. Karanasheva |
| collection | DOAJ |
| description | Aim. To improve reproductive health and quality of life of patients with genital prolapse combined with elongation, cicatricial deformation of the cervix.
Materials and methods. The study included 43 patients with genital prolapse of grades I–II according to the POP-Q classification in combination with elongation and cicatricial deformation of the cervix. All of them underwent surgery – plastic surgery of the cervix using the Yeltsov–Strelkov stratification method in combination with reconstruction of levels II and III of pelvic floor support according to DeLancey.
Results. The results of surgical treatment were assessed after 1–6 years. Overactive bladder was diagnosed before surgery in 4 (9.3%) people, after – in 2 (4.7%); p0.05. In this case, an increase in the maximum flow rate and a decrease in the volume of residual urine were observed (p0.05). In 41 (95.3%) patients, improvements were found in all parts of the vagina in the postoperative period. They were satisfied with the treatment according to the results of the PFDI-20 questionnaire. Recurrence of genital prolapse in the form of prolapse of the posterior vaginal wall was detected in 2 (4.6%) women. Pregnancy occurred in 8 people: in 3 (7.0%), it ended in timely delivery by cesarean section according to the sum of relative indications; in 2 (4.6%), medical terminations of pregnancy were performed; in 1 (2.3%) – surgical abortion. The remaining 36 (83.7%) protected themselves from pregnancy throughout the observation period.
Conclusion. Surgical treatment in the volume of plastic surgery of the cervix by the method of stratification and reconstruction of II and III levels of pelvic floor support according to DeLancey in case of genital prolapse of I–II degree according to the POP-Q classification in combination with cicatricial deformation and elongation of the cervix made it possible to restore the topography of the pelvic organs and their functions. This method of surgical treatment makes it possible to recreate the anatomy of the cervix with native tissues without its amputation. It has no unfavorable obstetric outcomes and can be used in women interested in reproductive function. |
| format | Article |
| id | doaj-art-cf3b62aefa604143a43fd86c818e5c6e |
| institution | Kabale University |
| issn | 2079-5696 2079-5831 |
| language | Russian |
| publishDate | 2024-12-01 |
| publisher | IP Berlin A.V. |
| record_format | Article |
| series | Гинекология |
| spelling | doaj-art-cf3b62aefa604143a43fd86c818e5c6e2025-01-21T20:47:28ZrusIP Berlin A.V.Гинекология2079-56962079-58312024-12-0126435836210.26442/20795696.2024.4.20304279606А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective studyAlbina Kh. Karanasheva0https://orcid.org/0000-0003-3410-2059Yulia E. Dobrokhotova1https://orcid.org/0000-0002-7830-2290Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityAim. To improve reproductive health and quality of life of patients with genital prolapse combined with elongation, cicatricial deformation of the cervix. Materials and methods. The study included 43 patients with genital prolapse of grades I–II according to the POP-Q classification in combination with elongation and cicatricial deformation of the cervix. All of them underwent surgery – plastic surgery of the cervix using the Yeltsov–Strelkov stratification method in combination with reconstruction of levels II and III of pelvic floor support according to DeLancey. Results. The results of surgical treatment were assessed after 1–6 years. Overactive bladder was diagnosed before surgery in 4 (9.3%) people, after – in 2 (4.7%); p0.05. In this case, an increase in the maximum flow rate and a decrease in the volume of residual urine were observed (p0.05). In 41 (95.3%) patients, improvements were found in all parts of the vagina in the postoperative period. They were satisfied with the treatment according to the results of the PFDI-20 questionnaire. Recurrence of genital prolapse in the form of prolapse of the posterior vaginal wall was detected in 2 (4.6%) women. Pregnancy occurred in 8 people: in 3 (7.0%), it ended in timely delivery by cesarean section according to the sum of relative indications; in 2 (4.6%), medical terminations of pregnancy were performed; in 1 (2.3%) – surgical abortion. The remaining 36 (83.7%) protected themselves from pregnancy throughout the observation period. Conclusion. Surgical treatment in the volume of plastic surgery of the cervix by the method of stratification and reconstruction of II and III levels of pelvic floor support according to DeLancey in case of genital prolapse of I–II degree according to the POP-Q classification in combination with cicatricial deformation and elongation of the cervix made it possible to restore the topography of the pelvic organs and their functions. This method of surgical treatment makes it possible to recreate the anatomy of the cervix with native tissues without its amputation. It has no unfavorable obstetric outcomes and can be used in women interested in reproductive function.https://gynecology.orscience.ru/2079-5831/article/viewFile/635272/pdfgenital prolapsescar deformitycervical elongationsurgical treatmentcervical plastic surgery using the dissection methodreconstruction of levels ii and iii of pelvic floor support according to delanceyquality of life |
| spellingShingle | Albina Kh. Karanasheva Yulia E. Dobrokhotova А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study Гинекология genital prolapse scar deformity cervical elongation surgical treatment cervical plastic surgery using the dissection method reconstruction of levels ii and iii of pelvic floor support according to delancey quality of life |
| title | А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study |
| title_full | А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study |
| title_fullStr | А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study |
| title_full_unstemmed | А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study |
| title_short | А method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age. A retrospective study |
| title_sort | а method of surgical correction of genital prolapse in combination with elongation and cicatricial deformation of the cervix in patients of reproductive age a retrospective study |
| topic | genital prolapse scar deformity cervical elongation surgical treatment cervical plastic surgery using the dissection method reconstruction of levels ii and iii of pelvic floor support according to delancey quality of life |
| url | https://gynecology.orscience.ru/2079-5831/article/viewFile/635272/pdf |
| work_keys_str_mv | AT albinakhkaranasheva amethodofsurgicalcorrectionofgenitalprolapseincombinationwithelongationandcicatricialdeformationofthecervixinpatientsofreproductiveagearetrospectivestudy AT yuliaedobrokhotova amethodofsurgicalcorrectionofgenitalprolapseincombinationwithelongationandcicatricialdeformationofthecervixinpatientsofreproductiveagearetrospectivestudy |