Abstract

Lower urinary tract dysfunction (LUTD) is often the main reason for patients with pelvic organ prolapse (POP) to see a doctor. LUTD can be caused by a variety of pathophysiological reasons that are underestimated in preoperative examination and are not taken into account when planning treatment. Application of examination algorithms using modern urodynamic methods in patients with LUTD and POP can lead to an improvement in the functional results of treatment. (For citation: Rusina EI. Lower urinary tract dysfunction in women with pelvic organ prolapse: Diagnostic problems. Journal of Obstetrics and Women’s Diseases. 2018;67(4):4-12. doi: 10.17816/JOWD6744-12).

Highlights

  • ■■ Дисфункции нижних мочевых путей (ДНМП) часто бывают главным поводом для обращения пациенток с пролапсом тазовых органов (ПТО) к врачу

  • Lower urinary tract dysfunction (LUTD) can be caused by a variety of pathophysiological reasons that are underestimated in preoperative examination and are not taken into account when planning treatment

  • Application of examination algorithms using modern urodynamic methods in patients with LUTD and POP can lead to an improvement in the functional results of treatment

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Summary

Introduction

■■ Дисфункции нижних мочевых путей (ДНМП) часто бывают главным поводом для обращения пациенток с пролапсом тазовых органов (ПТО) к врачу. У части больных ликвидация уретральной обструкции при хирургической коррекции ПТО оказывается весьма эффективной и в отношении симптомов ГАМП. При более тяжелых степенях ПТО может быть более высокий риск стойких ургентных симптомов после операции [13].

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