Current surgical tactics in the treatment of genital prolapse and urinary incontinence

Abstract

Current surgical tactics in the treatment of genital prolapse and urinary incontinence B.B. Kurbanov Tashkent Pediatric Medical Institute, Uzbekistan The problem of surgical treatment of genital prolapse and stress urinary incontinence is an acute problem in surgical gynecology. To date, there are many ways to treat the genital prolapse, but not all methods are effective enough and the issue of preventing the relapse remains open. Aim: was to identify and substantiate surgical tactics in the treatment of women with genital prolapse and stress urinary incontinence. Patients and Methods: the study included 107 patients who underwent surgery for the correction of genital prolapse. All patients were divided into two groups, depending on the type of surgical intervention performed. The first group included 72 patients who underwent operations of vaginal hysterectomy using a new technology with strengthening of the sacro-uterine ligaments and fixation of the vaginal cuff with the use of synthetic prolene tape and ТVТ-0. The second group includes 35 patients who underwent traditional vaginal hysterectomy combined with anterior and posterior colporrhaphy. Results: all operations were performed with the aim of surgical treatment of genital prolapse. The results of operative treatment were assessed basing on restoring the quality of life of patients. Women who had been operasted with the use of the new technology had a lower relapse rate, no intraoperative complications, and quick recovery of quality of life. Conclusions: the vaginal method of genital prolapse surgery using the new technology is effective and can be recommended in a wide practice. This article presents modern methods of surgical treatment of genital prolapse and stress urinary incontinence using synthetic prolene tape, and a detailed description of the procedure of operation and a comparative assessment. Key words: prolapse of genitals, urinary incontinence, lobular tape, plastic surgery, surgical gynecology, vaginal hysterectomy. For citation: Kurbanov B.B. Current surgical tactics in the treatment of genital prolapse and urinary incontinence. Russian journal of Woman and Child Health. 2018;1(1):44–48.