A differential approach to treating apical prolapse via a vaginal route

Barinova E.K., Damirova S.F., Aryutin D.G., Ordiyants I.M., Gagaev Ch.G., Zulumyan T.N., Ordiyants E.G.

1) Medical Institute, Peoples’ Friendship University of Russia, Moscow, Russia; 2) N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department, Moscow, Russia
A differential approach to treating apical prolapse is acquiring high relevance. The article reviews the literature, including randomized trials dedicated to apical prolapse treatment via a vaginal route. Much attention is paid to up-to-date methods for correcting apical prolapse by using native tissues and by applying mesh technologies. Intra- and postoperative complications are described The complex process of choosing a surgical intervention directly depends on the nature and severity of prolapse.
Conclusion. It is necessary to take into account the general condition of a woman, her desire to save the uterus, as well as the preferences and capabilities of a surgeon. Knowledge of topographic anatomy, compliance with the implant placement technique, and an individual approach ensure the success of surgical treatment.


genital prolapse
apical prolapse
apical prolapse treatment
pelvic organ prolapse


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Received 06.04.2020

Accepted 16.06.2020

About the Authors

Ebecha K. Barinova, graduate student of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(926)695-40-73. E-mail: barinovaek@inbox.ru. https://orcid.org/0000-0001-8282-6508. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Saadet F. K. Damirova, graduate student of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(925)485-07-71. E-mail: doctorsaadet@gmail.ru. https://orcid.org/0000-0002-3795-6044. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Dmitry G. Aryutin, Ph.D., Head of the Gynecological Department GBUS «GKB № 29 them N.E. Bauman DM», assistant FPC MR Department of Obstetrics and Gynecology with a course of perinatology RUDN. Tel.: +7(903)772-95-38. E-mail: aryutin@mail.ru. https://orcid.org/0000-0003-0258-8445. 2 Hospital sq., Moscow, 111020, Russia.
Irina M. Ordiants, Dr. MD., Professor of the Department of Obstetrics and Gynecology with a course of perinatology RUDN, MD, Professor.
Tel.: +7(926)800-50-36. E-mail: ordiyantc@mail.ru. https://orcid.org/0000-0001-5882-9995. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Celibi H. Gagaev, Dr. MD., Professor of the Department of Obstetrics and Gynecology with a course of perinatology, RUDN.
Tel.: +7(910)418-84-98. E-mail: gasanovich@gmail.com. https://orcid.org/0000-0001-7213-5981. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Tatevik N. Sulumyan, Ph.D., Assistant of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(929)503-99-04. E-mail: zulum@mail.ru. https://orcid.org/0000-0002-5837-3622. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Elena G. Ordiants, Assistant of the Department of Obstetrics and Gynecology and Reproductology, RUDN.
E-mail: +7(926)007-12-31. E-mail: ordiyansfit@mail.ru. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.

For reference: Barinova E.K., Damirova S.F., Aryutin D.G., Ordiyants I.M., Gagaev Ch.G., Zulumyan T.N., Ordiyants E.G. A differential approach to treating apical prolapse via a vaginal route.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 6: 124-131 (in Russian).

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