Abstract
In recent years there has been a noticeable "rejuvenation" of pelvic organ prolapse. Inconsistency of the pelvic floor muscles, including the omission of sexual organs, is extremely common pathology, observed almost a third of women of reproductive age. The search for effective, convenient methods of contraception for this category of patients is an important problem of modern gynecology.We proposed a method of transvaginal voluntary surgical contraception, produced in conjunction with surgical treatment of descent and prolapse of the vaginal walls. Studied the nearest and long-term results of surgery in 50 women to which, during the surgical treatment of genital prolapse at the same time was performed transvaginal occlusion of the fallopian tubes. Control groups consisted of 30 women to which in the first step before surgical correction of pelvic organ prolapse have been performed minilaparotomy and voluntary surgical sterilization (VSS). Our method consists in penetrating into the abdominal cavity through the anterior vaginal vault, downgrading the fallopian tubes with a hook of Ramathibodi and tubal sterilization by Pomeroy method. Intra - and postoperative complications were not observed. In the late postoperative periods - the effectiveness of the method was 100%. Marked tendency to improve the quality of sexual life tells about the positive impact of elimination of genital prolapse with simultaneous DCA on the quality of life of women.
Highlights
Problem of descent and prolapse of internal genital organs continues to be the focus of gynecologists, due to the tendency to increase the frequency and severity of this disease, and the fact that intervention for prolapse in the structure of gynecological operations frequency ranks third
In the structure of gynecological morbidity the descent and prolapse of internal genital organs makes 1,7-28% (Kulakov & Adamyan, 2000; Adamyan & Blinova, 2000; Patel, Xu, & Thomason, 2007) Despite the improving the quality of obstetric care, approximately 50% of all women giving birth in term observed genital prolapse of varying severity, the disease has a wide age range, in addition, in recent years there has been a noticeable "rejuvenation" of this disease and the increasing number of complicated and recurrent forms (Kulakov, Adamyan, & Strizhakova, 2006; Krasnopolskii & Popov, 2007; Loran, 2008; Popova, 2000; Petros, 2004; Barber, 2005)
Insolvency of the pelvic floor, including the omission of sexual organs, is extremely frequent pathologies observed in almost a third of women of reproductive age (Marilova, 2007; Vysotskaya, 2008; Gorbenko, 2008; Dorosh, 2009; Zhuravlev, 2009; Yashchuk, 2009).In the treatment of prolapse and internal genital prolapse the surgery plays a leading role
Summary
Problem of descent and prolapse of internal genital organs continues to be the focus of gynecologists, due to the tendency to increase the frequency and severity of this disease, and the fact that intervention for prolapse in the structure of gynecological operations frequency ranks third (after benign tumors and endometriosis). In the structure of gynecological morbidity the descent and prolapse of internal genital organs makes 1,7-28% (Kulakov & Adamyan, 2000; Adamyan & Blinova, 2000; Patel, Xu, & Thomason, 2007) Despite the improving the quality of obstetric care, approximately 50% of all women giving birth in term observed genital prolapse of varying severity, the disease has a wide age range, in addition, in recent years there has been a noticeable "rejuvenation" of this disease and the increasing number of complicated and recurrent forms (Kulakov, Adamyan, & Strizhakova, 2006; Krasnopolskii & Popov, 2007; Loran, 2008; Popova, 2000; Petros, 2004; Barber, 2005). Reasons for the high incidence among women of reproductive age - one-third of all patients on given nosology - lie in the general deterioration in the health of women in the population
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