Clinical and anatomical features of patients with apical prolapse
25.08.2025
13:07
Russian researchers from Department of Obstetrics, Gynecology and Perinatology of Patrice Lumumba Peoples' Friendship University of Russia, Moscow, studied clinical and anatomical features of patients with apical prolapse.
Patients with apical prolapse more often reported incomplete bladder emptying and the need to reduce prolapse to ease voiding. In the comparison group, stress urinary incontinence and lower abdominal pressure were more common. In almost half of the patients with apical prolapse, the leading point was Ba (44.6%). In patients without apical prolapse, prolapse of the posterior vaginal wall (point Bp) occurred most often (62%). No significant differences in symptoms were found between the groups, which complicates the early diagnosis of apical prolapse.
When examining the patients with pelvic organ prolapse and collecting their history, it is necessary to take into account the "pitfalls" that complicate objective diagnosis of apical prolapse. It is necessary to improve the technique of physical examination of gynecological patients for early detection of first-level support defects, which will allow timely prescription of adequate treatment with the best long-term results.
