Current therapeutic and prophylactic tactics for women with genital descent and prolapse. Physicians’ knowledge and practical skills


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Abstract

Currently, the problem of pelvic organ prolapse has assumed more urgent importance due to its higher incidence rates (longer life span), difficulty completely emptying the bladder/bowel, high postsurgery recurrence rates (2040% of recurrences after surgery without tissue transplantation, 10% of recurrences following surgery with tissue transplantation), and increased requirements for quality of life. Objective. To estimate the level of knowledge and practical skills among physicians in rendering health care to women with pelvic organ prolapse in an outpatient setting. Subject and methods. 460 questionnaires filled out anonymously by obstetricians/gynecologists served as the material of this investigation. Results. Most physicians prefer the surgical approach, which has been generated by the International Continence Society/International Urogynecological Association and described in clinical guidelines, to the current medical approach in treating pelvic organ prolapse, by considering that the medical methods (pessaries) are insuff iciently effective and without having necessary training and logistical support.

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About the authors

Inna A. Apolikhina

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University

Email: apolikhina@inbox.ru
MD, professor, head of gynecology department of rehabilitation treatment and hospital day stay

Galina B. Dikke

People’s Friendship University of Russia

Email: galadikke@yandex.ru
MD, Honored Science and Education, professor of obstetrics, gynecology and reproductive medicine

Dmitry M. Kochev

Pentkroft Farma JSC

Email: pentcroft@mail.ru
CEO Moscow

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