ISSN 0300-9092 (Print)
ISSN 2412-5679 (Online)

Pelvic floor reconstructive plastic surgery in the treatment of prolapse and pelvic organ disorders

Kurkova T.F., Glukhov E.Yu., Dikke G.B., Kuznetsov V.V.

1) Ural State Medical University, Ministry of Health of Russia, Institute of Pediatrics and Reproductive Medicine, Yekaterinburg, Russia; 2) Center for Restorative Gynecology "Zhenskaya klinika", Yekaterinburg, Russia; 3) F.I. Inozemtsev Academy of Medical Education, St. Petersburg, Russia

Pelvic organs prolapse (POP) affects millions of women worldwide and is a public health problem for 50% of women over 50 who have given birth. POP significantly impacts quality of life, causing discomfort, urinary incontinence and physical limitations. Reconstructive plastic surgery for POP includes various approaches (vaginal, abdominal, laparoscopic/robotic) where native tissue or grafts (synthetic/biological) can be used for restoring pelvic organ support, with an emphasis on improving quality of life by correcting anatomical defects. However, outcomes vary, and concerns about mesh-related complications have led to a shift toward personalized, functional restoration and advanced techniques such as flap reconstruction, even though mesh has demonstrated advantages for apical prolapse. Controversy regarding the use of mesh implants continues.
Conclusion: Modern surgery focuses on restoring function, aesthetics, and the individual needs of the patient, balancing the benefits and risks of various techniques.

Authors’ contributions: Kurkova T.F., Glukhov E.Yu., Dikke G.B., Kuznetsov V.V. – developing the concept and design of the study, collecting and processing the material, writing the text, editing the article. All authors have made an equal contribution to the writing of the article, guarantee the accuracy of all parts of the work and have approved the final version of the article.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Kurkova T.F., Glukhov E.Yu., Dikke G.B., Kuznetsov V.V. Pelvic floor 
reconstructive plastic surgery in the treatment of prolapse and pelvic organ disorders.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (2): 63-69 (in Russian)
https://dx.doi.org/10.18565/aig.2026.11

Keywords

pelvic organ prolapse
patient-centered treatment
mesh implants
autologous tissue reconstruction
sacrocolpopexy
quality of life

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Received 16.01.2026

Accepted 05.02.2026

About the Authors

Tatiana F. Kurkova, Ural State Medical University, Ministry of Health of Russia, 620028, Russia, Yekaterinburg, Repina str.; obstetrician-gynecologist, ultrasound physician,
CRG "Zhenskaya klinika", 620137, Russia, Yekaterinburg, Botanicheskaya str., 19, kurkovagyn@ya.ru, https://orcid.org/0009-0009-6360-9044
Evgeny Y. Glukhov, Dr. Med. Sci., Chief Physician, CRG "Zhenskaya klinika", 620137, Russia, Yekaterinburg, Botanicheskaya str., 19; Professor at the Department of Obstetrics and Gynecology with a Course in Medical Genetics, Ural State Medical University, Ministry of Health of Russia, 620028, Russia, Yekaterinburg, Repina str., 3,
9222241411@mail.ru, https://orcid.org/0000-0003-3899-8382
Galina B. Dikke, Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology with a Course of Reproductive Medicine, F.I. Inozemtsev Academy of Medical Education, 190013, Russia, St. Petersburg, Moskovskiy Ave., 22 Liter M, galadikke@yandex.ru, https://orcid.org/0000-0001-9524-8962
Viktor V. Kuznetsov, Ural State Medical University, Ministry of Health of Russia, 620028, Russia, Yekaterinburg, Repina str., 3; obstetrician-gynecologist, CRG "Zhenskaya klinika", 620137, Russia, Yekaterinburg, Botanicheskaya str., 19, 79220317537@yandex.ru, https://orcid.org/0009-0006-5608-7274
Corresponding author: Tatyana F. Kurkova, kurkovagyn@ya.ru

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