Preview

Meditsinskiy sovet = Medical Council

Advanced search

Features of the health status of women with genital prolapse

https://doi.org/10.21518/2079-701X-2020-21-210-217

Abstract

Introduction. In recent years, more and more attention has been paid to the issues of genital prolapse. This is largely due to the increase in women life expectancy and the need to provide them with a decent quality of life, as prolapse is quite often accompanied by dysfunction of the pelvic organs. In recent years, there has been an increasing amount of literature on undifferentiated connective tissue dysplasia (UCTD). However, most of these studies consider therapeutic or vertebro-neurological problems, while the high prevalence rates of this pathology call for additional research on the pathogenetic mechanisms of the effect of UCTD on pelvic organ prolapse, which will allow us to decide on the choice of subsequent treatment.

The purpose and objectives. Asess the effect of undifferentiated connective tissue dysplasia (UCTD) on the formation of disorders of the somatic, gynecological and reproductive health status in women with genital prolapse.

Materials and methods. To achieve this goal, we examined 204 women with genital prolapse in the POP-Q classification of stage 2–3, of which 97 were diagnosed with UCTD (the main group), and the remaining 107 patients made up the comparison group.

Results. To evaluate the influence of UCTD on the formation of somatic, gynecological and reproductive health disorders in women with genital prolapse. We analyzed anamnestic indications for somatic, gynecological and reproductive pathology of women, as well as assessed the current state of health of patients with genital prolapse. It was found that it is UCTD that determines the development of a particular form of gynecological pathology and affects the formation of genital prolapse.

Conclusion. UCTD manifests as various forms of somatic and gynecological health disorders throughout the life of women with genital prolapse. 

About the Authors

G. I. Teleeva
Samara State Medical University
Russian Federation

Obstetrician-Gynaecologist, Ultrasound Specialist, 

89, Chapaevskaya St., Samara, 443099



L. S. Tselkovich
Samara State Medical University
Russian Federation

Dr. of Sci. (Med.), Professor, Head of Department of Obstetrics and Gynecology No. 2, 

89, Chapaevskaya St., Samara, 443099



R. B. Balter
Samara State Medical University
Russian Federation

Dr. of Sci. (Med.), Professor of Department of Obstetrics and Gynecology No. 2,

89, Chapaevskaya St., Samara, 443099



T. V. Ivanova
Samara State Medical University
Russian Federation

Cand. of Sci. (Med.), Assistant Professor of Department of Obstetrics and Gynecology No. 2, 

89, Chapaevskaya St., Samara, 443099



A. R. Ibragimova
Samara State Medical University
Russian Federation

Cand. of Sci. (Med.), Assistant of Department of Obstetrics and Gynecology No. 2,

89, Chapaevskaya St., Samara, 443099



A. Yu. Ryabov
Samara State Medical University
Russian Federation

Resident of Department of Obstetrics and Gynecology No. 2,

89, Chapaevskaya St., Samara, 443099



References

1. Buyanova S.N., Savelev S.V., Petrova V.D., Murav’eva T.G., Fedorova A.A., Lukashenko S.Yu., Shoybonov B.B. The role of connective tissue dysplasia in the pathogenesis of genital prolapse and urinary incontinence. Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of ObstetricianGynecologist. 2005;5(5):19–23. (In Russ.) Available at: https://elibrary.ru/item.asp?id=23070587.

2. Dobrokhotova Yu.E. Genital prolapse and urinary incontinence: therapy options. Consilium medicum. 2016;18(6):94–97. (In Russ.) Available at: https://cyberleninka.ru/article/n/prolaps-genitaliy-i-nederzhanie-mochivozmozhnosti-terapii.

3. Kolesnikova S.N., Dubinskaya E.D., Babicheva I.A. Impact of early forms of pelvic organ prolapse on the quality of life of women of reproductive age. Akademicheskiy zhurnal Zapadnoy Sibiri = Academic Journal of West Siberia. 2016;12(1):65–67. (In Russ.) Available at: https://readera.org/vlijanie-rannih-form-prolapsa-tazovyh-organov-na-kachestvo-zhizni-zhenshhin-140221799.

4. Bezhenar’ V.F., Bogatyreva E.V., Pavlova N.G. Pelvic organ prolapse in women: etiology, pathogenesis, principles of diagnosis. Manual for physicians. Saint Petersburg: N-L; 2010. 48 p. (In Russ.).

5. Awwad J., Sayegh R., Yeretzian J., Deeb M.E. Prevalence, risk factors, and predictors of pelvic organ prolapse: a community-based study. Menopause. 2012;19(11):1235–1241. doi: 10.1097/gme.0b013e31826d2d94.

6. Barber M.D., Maher C. Epidemiology and outcome assessment of pelvic organ prolapsed. Int Urogynecol J. 2013;24(11):1783–1790. doi: 10.1007/s00192-013-2169-9.

7. Timofeyeva E.P., Kartseva T.V., Ryabichenko T.I., Skosyreva G.A. Present-day views of undifferentiated connective tissue dysplasia syndrome. Rossiyskiy Vestnik Perinatology and Pediatics = Russian Bulletin of Perinatology and Pediatrics. 2012;4(1):112–115. (In Russ.) Available at: https://cyberleninka. ru/article/n/sovremennye-predstavleniya-o-sindrome-nedifferentsirovannoy-displazii-soedinitelnoy-tkani.

8. Apolikhina I.A., Chochueva А.S., Saidova А.S., Gorbunova Е.А., Kagan I.I. Мodern approaches to diagnosis and conservative treatment of genital prolapse in women in the practice of gynecologist. Akusherstvo i ginekologiya = Obstetrics and Gynegology. 2017;(3):26–33. (In Russ.) doi: 10.18565/aig.2017.3.26-33.

9. Ilyina I.Yu., Malikova V.O., Dzhobava E.M., Dobrokhotova Yu.E. Features of extragenital pathology in women with genital prolapse in conjunction with the connective tissue dysplasia. Vestnik RGMU = Buletin of RSMU. 2012;(3):25–28. (In Russ.) Available at: https://cyberleninka.ru/article/n/osobennosti-ekstragenitalnogo-statusa-u-zhenschin-s-prolapsom-genitaliy-v-sochetanii-s-displaziey-soedinitelnoy-tkani/viewer.

10. Kan N.E., Amiraslanov E.Yu., Tyutyunnik V.L. A rating scale of undifferentiated connective tissue dysplasia in predicting obstetric complications. Akusherstvo i ginekologiya = Obstetrics and Gynegology. 2014;(7):38–42. (In Russ.) Available at: https://aig-journal.ru/articles/Ballnaya-shkala-nedifferincirovannoidisplazii-soedinitelnoi-tkani-v-prognozirovanii-akusherskih-oslojnenii.html.

11. Lang T., Altman D. Basic statistical reporting for articles published in clinical medical journals: the SAMPL Guidelines. In: Smart P., Maisonneuve H., Polderman A. (eds.) Science Editors’ Handbook, European Association of Science Editors, 2013. Available at: https://www.equator-network.org/wpcontent/uploads/2013/07/SAMPL-Guidelines-6-27-13.pdf.

12. Apolikhina I.A., Chochueva A.S., Gus A.I., Ignatyeva A.A., Bychkona A.E. Current approaches to diagnosing damages to the pelvic floor structures during childbirth. Akusherstvo i ginekologiya = Obstetrics and Gynegology. 2018;(7):20–25. (In Russ.) doi: 10.18565/aig.2018.7.20-25.


Review

For citations:


Teleeva GI, Tselkovich LS, Balter RB, Ivanova TV, Ibragimova AR, Ryabov AY. Features of the health status of women with genital prolapse. Meditsinskiy sovet = Medical Council. 2020;(21):210-217. (In Russ.) https://doi.org/10.21518/2079-701X-2020-21-210-217

Views: 550


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)