671 Etiopatogenic aspects of pelvic organs prolapse in women, modern surgical correction

Abstract

Listen

Translate article

The abstract discusses risk factors for pelvic organ prolapse, such as uterine leiomyoma and levels of hormones in reproductive aged women. The study was aimed to assess the risk factors for the pelvic organ prolapse occurrence and identify significant risk factors in women of reproductive age that affect further fertility. This is retrospective study in which clinical and laboratory data of 120 cases of reproductive aged women were reviewed. Group A maintained women with pelvic organ prolapses, according to the POP-Q classification, and group B was undergoing routine examination. Presence of uterine leiomyoma during USG examination and levels of hormones in blood samples were tested. According to the obtained data, uterine leiomyoma occurs significantly more often (p <0.05) in patients of group A, in comparison with group B. Also noteworthy is the decrease in the level of sex hormones in 88% of women in group A, while in group B it is reduced only in 95%. The results of the study clearly demonstrate the relevance of uterine leiomyoma in combination with pelvic organ prolapse. Also, an important role is played the level of sex hormones decrease, which manifests as skin and vaginal mucosa dryness, decreased libido and dissatisfaction sexual life. Based on retrospective observations, was determined that isolated removal of fibroids does not guarantee the absence of prolapse progression, and therefore there is a need to develop a myomectomy technique with simultaneous correction of pelvic organ prolapse and hormone replacement therapy.