Genital prolapse: Experience in surgical treatment
The paper reviews the data available in the literature and those obtained by the authors on the surgical treatment of 78 women with genital prolapse in the Gynecology Unit, Simferopol Perinatal Center, in 2019 to 2022. The common complaints in patients who visited the healthcare facility were external genital organ discomfort, periodic aching pains in the lower abdomen and lower back, and vaginal foreign body sensation. The most common comorbidities were lower extremity varicosities (56%), coronary heart disease (38%), obesity (35%), and hypertension (34%). The mean duration of surgery was slightly longer, as well as blood loss was slightly greater and bed days were slightly more in the vaginal hysterectomy group. The results of assessing the quality of life a year after surgery indicate the high efficiency of treatment in all the four groups; however, the patients who underwent laparoscopic promontofixation show the best results.Miklin O.P., Dyshlovaya A.V., Rumyantseva Z.S., Gudz O.V., Yermachkova P.A., Kravchenko A.N., Sulima A.N., Reznichenko N.A., Anikin S.S.
Conclusion: In the authors’ opinion, the use of laparoscopic promontofixation is a preferred technique for surgical correction of genital prolapse. However, the analysis allows the authors to judge that all methods for correction of genital prolapse continue to be actively used in practical healthcare.
Authors' contributions: Miklin O.P., Dyshlovaya A.V. – conception and design of the study; Yermachkova P.A., Kravchenko A.N. – data collection, its statistical analysis, writing the primary text of the article; Gudz O.V., Rumyantseva Z.S., Sulima A.N. – literary review on the studied issue, translation of foreign materials; Reznichenko N.A., Anikin S.S. – analysis of statistical data, formation of basic theses; Miklin O.P., Dyshlovaya A.V., Ermachkova P.A. – formation of the final version of the manuscript.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent for Publication: The patients have signed an informed consent form to the publication of their data.
For citation: Miklin O.P., Dyshlovaya A.V., Rumyantseva Z.S., Gudz O.V., Yermachkova P.A., Kravchenko A.N., Sulima A.N., Reznichenko N.A., Anikin S.S.
Genital prolapse: Experience in surgical treatment.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (3): 122-128 (in Russian)
https://dx.doi.org/10.18565/aig.2022.277
Keywords
genital prolapse
promontofixation
hysterectomy
vaginal plastic surgery
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Received 18.11.2022
Accepted 16.03.2023
About the Authors
Oleg P. Miklin, Ph.D., Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky CrimeanFederal University, +7(978)772-01-94, Miklin-O@mail.ru, https://orcid.org/0000-0002-4863-602X, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Alla V. Dyshlovaya, obstetrician-gynecologist, Department of Gynecology, Perinatal Center, +7(978)711-12-15, alusyatel@yandex.ru, 8 Semashko str., Simferopol, Russia.
Zoya S. Rumyantseva, Ph.D., Associate Professor, Acting Head of the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy,
V.I. Vernadsky Crimean Federal University, +7(978)855-85-37, zoyarum@inbox.ru, https://orcid.org/0000-0002-1711-021X, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Oksana V. Gudz, Assistant at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal
University, obstetrician-gynecologist, Gynecology Department, Simferopol Clinical Maternity Hospital No. 2, +7(978)772-02-92, pugovlaoks@mail.ru,
https://orcid.org/0000-0002-48881-6792, 30R 60 Let Oktyabrya str., Simferopol, Russia.
Polina A. Yermachkova, student, Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University,
+7(978)752-20-63, 2ermachkova-polina@mail.ru, https://orcid.org/0000-0002-8782-4007, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Alexandra N. Kravchenko, student, Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal
University, +7(978)176-36-36, unicorn_tomo@mail.ru, https://orcid.org/0000-0002-9992-8874, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Anna N. Sulima, Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean
Federal University, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Natalia A. Reznichenko, Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky
Crimean Federal University, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Sergey S. Anikin, PhD, Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean
Federal University, 5/7 Lenin Boulevard, Simferopol, 295051, Russia.
Corresponding author: Polina A. Yermachkova, 2ermachkova-polina@mail.ru
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