DIAGNOSIS AND EVALUATION OF CRITERIA FOR CONDUCTING SURGICAL TREATMENT IN WOMEN WITH CYSTOCELE AND STRESS URINARY INCONTINENCE

Abstract Purpose of the study. Clarification of absolute and relative criteria for the surgical treatment of pelvic pelvic prolapse (PMT) and stress urinary incontinence (SNA). Materials and methods. A survey was conducted on 85 patients in whom OST and SNA were detected. The women were divided into groups according to the stage of POMT and SNM: 2nd group – 32 patients with PIDs of stages I and II and SNM 2a, 2b types of lung and moderate severity; Group 3 (main) - 53 patients with MIDI III and IV stages and MSM type 3 moderate and severe severity. This group of patients subsequently undergone operative treatment according to the patent for utility model No. 109201. The main group (3rd group) included: 3a group – 28 women from the OMT III and IV stages and SNM 3rd type of medium and severe severity without delay in urination; 3b group – 25 women with STI III and IV stages and SNM of type 3 of moderate and severe degree of severity with delay of urination (chronic or acute). 15 women were examined without complaints, who entered the control group (1st group). Results. According to the results of the study, it was recorded that, regardless of the stage of the PMS and SNM, even their minimal manifestations significantly reduced the quality of life of patients (by 64%) due to the impact on the physical, but to a greater extent, on the psychological components of health. Conclusion. The absolute criterion for operative treatment is a set of prolapse of the pelvic organs (PMTCT), urinary incontinence, vesicularization of the bladder type 2a and above, an increase in the posterior urethro-vascular angle of more than 114 °. Treatment of stress urinary incontinence on the background of OST should necessarily include fixation of the uterine ligation apparatus and surgery on the Berch in connection with significant deformation of the bladder neck. Keywords: pelvic organ prolapse, urinary incontinence, methods of diagnostics.

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Complex evaluation of diagnostic criteria in women with cystocele and stress urinary incontinence

HEALTH OF WOMAN ◽

10.15574/hw.2017.123.110 ◽

2017 ◽

pp. 107-110

Author(s):

A.A. Lyulko ◽

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Operative Treatment ◽

Pelvic Organ ◽

Control Group ◽

Pelvic Organs ◽

Uterine Ligaments ◽

Absolute Criterion ◽

Type 3 ◽

The Impact

The purpose of the study: clarification of absolute and relative criteria for the operative treatment of prolapse of the pelvic organs (POP) and stress urinary incontinence (SUI). Patients and methods. 85 patients with POP and SUI were observed. These women were divided into groups according to the stage of POP and SUI: group 2 – 32 patients with I and II stages of POP and SUI 2a, 2b types of light and moderate severity; group 3 (main) – 53 patients with III and IV stages of POP and SUI type 3 moderate and severe severity. This group of patients subsequently undergone operative treatment according to the patent for utility model No. 109201. The main group (3rd group) included: 3a group – 28 women with III and IV stages of POP and SUI type 3 moderate and severe severity without delay in urination; 3b group – 25 women with III and IV stages of POP and SUI type 3 moderate and severe severity with delay of urination (chronic or acute). 15 women were examined without complaints, who entered the control group (1st group). Results. According to the results of the study, it was recorded that, regardless of the stage of the POP and SUI, even it’s minimal manifestation significantly reduces the quality of life of patients (by 64%) due to the impact on the physical, but greater, on the psychological components of health. Conclusion. The absolute criterion for operative treatment is a set of prolapse of the pelvic organs (POP), urinary incontinence, vesicularization of the bladder type 2a and above, an increase of the posterior urethro-vascular angle of more than 114°. Treatment of stress urinary incontinence on the background of POP should necessarily include fixation of the uterine ligaments and the Berch surgery because of significant deformation of the bladder neck. Key words: pelvic organ prolapse, urinary incontinence, methods of diagnostics.

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The main criteria for conducting surgical treatment of prolapse of pelvic organs and associated with it stress urinary incontinence

HEALTH OF WOMAN ◽

10.15574/hw.2017.124.40 ◽

2017 ◽

pp. 40-43

Author(s):

A.O. Lulko ◽

Keyword(s):

Urinary Incontinence ◽

Surgical Treatment ◽

Stress Urinary Incontinence ◽

Control Group ◽

Pelvic Organs ◽

Connective Tissue Dysplasia ◽

Type 3 ◽

Degrees Of Severity ◽

Control Group Group ◽

Group 1

The objective: is to determine the main criteria for the conduct of surgical treatment of prolapse of pelvic organs (POP) and associated with it stress urinary incontinence (SUI). Patients and methods. 85 women were examined with with prolapse of pelvic organs (POP) and stress urinary incontinence (SUI). They were divided into the following groups: 2nd group – 32 patients with prolapse of pelvic organs 1–2 degrees of severity and incontinence 2a, 2b types, mild and moderate severity; 3rd group (primary) – 53 patients with prolapse of pelvic organs of 3–4 degrees of severity and SUI of type 3, moderate and severe severity. The main group included: 3a group – 28 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, without delay with urination; 3b group – 25 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, with urinary retention (chronic or acute). The control group (group 1) consisted of 15 women without urologic and gynecological pathology. Methods: clinical-anamnestic, instrumental, radiographic, statistical. Results. It was determined that in patients with SUI there are changes in the posterior urethro-vesic angle (PUVU), bladder vesication, signs of connective tissue dysplasia (CTD), and obesity. Conclusions. The combination of such criteria as an increase in the PUVU greater than 114° and the vesiculation of bladder type 2a and above is the main criterion for conducting an operative intervention. Key words: prolapse of pelvic organs, stress urinary incontinence, diagnostics.

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Evaluation of indicators of ultrasound studies of women with prolapse of genital organs and urinary incontinence after treatment

HEALTH OF WOMAN ◽

10.15574/hw.2017.125.88 ◽

2017 ◽

pp. 88-91

Author(s):

A.O. Lyulko ◽

Keyword(s):

Urinary Incontinence ◽

Operative Treatment ◽

Recovery Period ◽

Pelvic Organ ◽

Control Group ◽

Pelvic Organs ◽

Group 3 ◽

Group 2 ◽

Definition Of ◽

Type 3

The objective: definition of the norm of ultrasound indicators and their dynamics in the postoperative period in patients after correction of prolapse of pelvic organs (POP) and stress incontinence (SUI). Materials and methods. 85 patients with POP and SUI were observed. These women were divided into groups according to the stage of POP and SUI: group 2 – 32 patients with I and II stages of POP and SUI 2a, 2b types of light and moderate severity; group 3 (main) – 53 patients with III and IV stages of POP and SUI type 3 moderate and severe severity. This group of patients subsequently undergone operative treatment according to the patent for utility model No. 109201. The main group (3rd group) included: 3.1 group – 28 women with III and IV stages of POP and SUI type 3 moderate and severe severity without delay in urination; 3.2 group – 25 women with III and IV stages of POP and SUI type 3 moderate and severe severity with delay of urination (chronic or acute). 15 women were examined without complaints, who entered the control group (1st group). Results. The study of ultrasound indicators in the dynamics after treatment in women with POP and SUI made it possible: to determine the recovery period for the anatomical position of the pelvic organs, assess the effectiveness of the treatment and rehabilitation of women. Conclusion. According to the data obtained, with an increase in the posterior urethro-vesic angle greater than 114° with POP and SUI, conservative treatment of this pathology is inexpedient. After the operative treatment of women with POP and SUI, the ultrasoud indicators recovered after 24 months. Key words: pelvic organ prolapse, urinary incontinence, ultrasound

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Sexual function in women with pelvic floor disorders

Canadian Urological Association Journal ◽

10.5489/cuaj.1625 ◽

2013 ◽

Vol 7 (9-10) ◽

pp. 199 ◽

Cited By ~ 11

Author(s):

Rebecca G. Rogers

Keyword(s):

Urinary Incontinence ◽

Pelvic Organ Prolapse ◽

Stress Urinary Incontinence ◽

Sexual Function ◽

Pelvic Floor ◽

Pelvic Floor Disorders ◽

Pelvic Floor Dysfunction ◽

Pelvic Organ ◽

The Impact

Pelvic floor disorders (PFDs) can impact sexual function. This summary provides an overview of the impact of stress urinary incontinence and pelvic organ prolapse and their treatments on sexual function. In general, interventions that successfully address PFDs will generally improve sexual function as well. However, there are patients whose sexual function will remain unchanged despite treatment, and a small but significant minority who will report worsened sexual function following treatment for their pelvic floor dysfunction.

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