EFFICACY OF PERSONALIZED THERAPY FOR PELVIC ORGAN PROLAPSE DEPENDING ON THE PRESENCE OF UNDIFFERENTIATED CONNECTIVE TISSUE DYSPLASIA

Abstract

We analyzed treatment outcomes in patients with pelvic organ prolapse (POP), some of whom had signs of undifferentiated connective tissue dysplasia (uCTD). Women from subgroup 1 used a pessary, while women from subgroup 2 underwent electromyostimulation in an outpatient department and performed Kegel exercises. After two treatment courses and pharmacotherapy, all patients demonstrated positive dynamics. Electrostimulation in combination with Kegel exercises was more effective than pessary; the effect was more pronounced in women without uCTD than in patients with uCTD. The results of our study were used for the development of a scale to assess POP severity, which enables a tailored approach to the diagnosis and management of such patients depending on the presence of uCTD.

Keywords

• pelvic organ prolapse
• pelvic floor failure
• electromyostimulation
• perineometry
• pelvic ultrasonography
• kegel exercises