Genital prolapse in women of advanced age, complicated decubital ulcer view at the preoperative treatment

Abstract

Genital prolapse is a syndrome of pelvic floor prolapse and pelvic organs prolapse, leading to a breach of their functions. Severe prolapse is accompanied by restriction of movement of patients, severe sexual dysfunction, urinary disorders, development of severe psychological problems up to depression, and complicated by decubital ulcers (erosions) of the cervix and vagina in 18–32% of cases. This article presents the results of preoperative treatment of decubital ulcers in 59 elderly women with genital prolapse. The study group consisted of 30 women with genital prolapse and verified cervical disease who underwent complex therapy including depantol (1 suppository 2 times/day every day intravaginal at night for 10 days) and lavomax (0.125 g first two days, and then 0.125 g in 48 hours, with 10 tablets per course). A control group included 29 patients with severe descent and prolapse of internal genital organs, complicated decubital ulcer of cervix who underwent conventional therapy duration of 10 days. The control group consisted of 20 healthy women aged 53–65 years. Analysis of the treatment effectiveness showed that this scheme of complex therapy of decubital ulcers in patients with postmenopausal genital prolapse, which included depantol and lavomax on the conventional scheme has demonstrated its clinical efficacy in 96.4% of cases (total clinical remission to improve) at very good tolerability in 97.2% of cases. Adverse effects and side effects were not observed in any case. The proposed therapy of decubital ulcers in postmenopausal women with severe genital prolapse in preoperative period allows in short time to achieve epithelialization of defect without rough scarring due to reparative effects on the tissue, to improve the quality of patients life and is an effective method of preoperative treatment for this category of patients.