• The main criteria for conducting surgical treatment of prolapse of pelvic organs and associated with it stress urinary incontinence

The main criteria for conducting surgical treatment of prolapse of pelvic organs and associated with it stress urinary incontinence

HEALTH OF WOMAN. 2017.8(124):40–43; doi 10.15574/HW.2017.124.40  

Lulko A. O.
SI «Zaporozhye Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine»

The objective: is to determine the main criteria for the conduct of surgical treatment of prolapse of pelvic organs (POP) and associated with it stress urinary incontinence (SUI).
Patients and methods. 85 women were examined with with prolapse of pelvic organs (POP) and stress urinary incontinence (SUI). They were divided into the following groups: 2nd group – 32 patients with prolapse of pelvic organs 1–2 degrees of severity and incontinence 2a, 2b types, mild and moderate severity; 3rd group (primary) – 53 patients with prolapse of pelvic organs of 3–4 degrees of severity and SUI of type 3, moderate and severe severity. The main group included: 3a group – 28 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, without delay with urination; 3b group – 25 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, with urinary retention (chronic or acute). The control group (group 1) consisted of 15 women without urologic and gynecological pathology. Methods: clinical-anamnestic, instrumental, radiographic, statistical.
Results. It was determined that in patients with SUI there are changes in the posterior urethro-vesic angle (PUVU), bladder vesication, signs of connective tissue dysplasia (CTD), and obesity.
Conclusions. The combination of such criteria as an increase in the PUVU greater than 114° and the vesiculation of bladder type 2a and above is the main criterion for conducting an operative intervention.
Key words: prolapse of pelvic organs, stress urinary incontinence, diagnostics.

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