Main Article Content
Abstract
Purpose – to evaluate the impact of surgical correction of pelvic organ prolapse on the quality of life of patients in the transition period according to the STRAW+10 classification.
Materials and methods. 20 patients in the transitional period according to the STRAW+10 classification with pelvic organ prolapse (POP) requiring surgical treatment were studied by a continuous method. All patients underwent surgical correction of prolapse with a mesh implant using transvaginal access with transobturator fixation, levatoroplasty. Efficacy was evaluated after 6 months: the assessment of quality of life was studied using the PFDI-20 questionnaire.
Results. The study demonstrates the effectiveness of surgical correction of POP in women of transitional age – after 6 months of the postoperative period, there was a statistically significant decrease in the intensity of POP symptoms and an improvement in some criteria of quality of life: the POPDI pelvic organ prolapse scale and the overall PFDI-20 value. At the same time, it should be recognized that these conclusions are limited by the design of the study.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214. Obstet Gynecol. 2019; 134(5): e126-e142. doi: 10.1097/AOG.0000000000003519
Bolgova IV, Zavrazina MV, Cherdantseva LG, Elgina SI, Moses VG, Rudaeva EV, Moses KB. Experience of outpatient services in the context of a new coronavirus infection. Medicine in Kuzbass. 2020; 19(4): 98-101. Russian (Болгова И.В., Завразина М.В., Черданцева Л.Г., Елгина С.И., Мозес В.Г., Рудаева Е.В., Мозес К.Б. Опыт работы амбулаторно-поликлинической службы в условиях новой коронавирусной инфекции //Медицина в Кузбассе. 2020. Т. 19, № 4. С. 98-101.) doi: 10.24411/2687-0053-2020-10047
Madhu C, Swift S, Moloney-Geany S, Drake MJ. How to use the Pelvic Organ Prolapse Quantification (POP-Q) system? Neurourol Urodyn. 2018; 37(S6): S39-S43. doi: 10.1002/nau.23740
Solodovnik AG, Moses KB. The significance of connective tissue dysplasia in the formation of the pathology of the upper digestive tract. Siberian Bulletin of Hepatology and Gastroenterology. 2005; 19: 58. Russian (Солодовник А.Г., Мозес К.Б. Значимость дисплазии соединительной ткани в формировании патологии верхних отделов пищеварительного тракта //Сибирский вестник гепатологии и гастроэнтерологии. 2005. № 19. С. 58)
Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020; 46(1): 5-14. doi: 10.1590/S1677-5538.IBJU.2018.0581
Eisenach IA, Vlasova VV, Zakharov IS, Mozes VG. Early mesh-associated postoperative complications in the installation of synthetic mesh implants with two and four sleeves in women with genital prolapse. Medicine in Kuzbass. 2017; 16(1): 61-64. Russian (Эйзенах И.А., Власова В.В., Захаров И.С., Мозес В.Г. Ранние mesh-ассоциированные послеоперационные осложнения при установке синтетических сетчатых имплантов с двумя и четырьмя рукавами у женщин с пролапсом гениталий //Медицина в Кузбассе. 2017. Т. 16, № 1. С. 61-64)
Dieter AA. Pelvic Organ Prolapse: Controversies in Surgical Treatment. Obstet Gynecol Clin North Am. 2021; 48(3): 437-448. doi: 10.1016/j.ogc.2021.05.001
Raju R, Linder BJ. Evaluation and Management of Pelvic Organ Prolapse. Mayo Clin Proc. 2021; 96(12): 3122-3129. doi: 10.1016/j.mayocp.2021.09.005
Collins S, Lewicky-Gaupp C. Pelvic Organ Prolapse. Gastroenterol Clin North Am. 2022; 51(1): 177-193. doi: 10.1016/j.gtc.2021.10.011