ПОСТГИСТЕРЭКТОМИЧЕСКИЙ ПРОЛАПС У ЖЕНЩИНЫ С ПЕРВИЧНО-МНОЖЕСТВЕННЫМ ЗЛОКАЧЕСТВЕННЫМ ЗАБОЛЕВАНИЕМ (КЛИНИЧЕСКИЙ СЛУЧАЙ)

Abstract

Pelvic organ prolapse (POP) is a common benign condition in women. In many patients, it can cause a sensation of vaginal bulging and pressure, as well as disturbances in urination, defecation, and sexual function, all of which can negatively impact the patient's quality of life. Hysterectomy – with or without adnexectomy – performed for benign or malignant conditions is the most common gynecological surgery worldwide. For instance, hysterectomies account for 38% of major gynecological surgeries in Sweden, 36% in the USA, and 25% in the UK.
In our country, approximately 90% of hysterectomies in women of reproductive age are performed for benign conditions. According to various sources, the incidence of genital prolapse following vaginal or abdominal hysterectomy ranges from 0.2% to 5%. Women undergoing hysterectomy often already have POP, yet in most cases, simultaneous corrective procedures are not performed. Consequently, a coordinated surgical approach addressing both the hysterectomy (for benign or malignant disease) and the pelvic floor dysfunction can improve quality of life and reduce the economic costs associated with repeat surgeries.
This article describes a rare clinical case of surgical treatment for POP in a patient who had previously undergone combined treatment for synchronous primary malignancies of the breast and uterine corpus.