Genital prolapse: Experience in surgical treatment

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Abstract

The paper reviews the data available in the literature and those obtained by the authors on the surgical treatment of 78 women with genital prolapse in the Gynecology Unit, Simferopol Perinatal Center, in 2019 to 2022. The common complaints in patients who visited the healthcare facility were external genital organ discomfort, periodic aching pains in the lower abdomen and lower back, and vaginal foreign body sensation. The most common comorbidities were lower extremity varicosities (56%), coronary heart disease (38%), obesity (35%), and hypertension (34%). The mean duration of surgery was slightly longer, as well as blood loss was slightly greater and bed days were slightly more in the vaginal hysterectomy group. The results of assessing the quality of life a year after surgery indicate the high efficiency of treatment in all the four groups; however, the patients who underwent laparoscopic promontofixation show the best results.

Conclusion: In the authors’ opinion, the use of laparoscopic promontofixation is a preferred technique for surgical correction of genital prolapse. However, the analysis allows the authors to judge that all methods for correction of genital prolapse continue to be actively used in practical healthcare.

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About the authors

Oleg P. Miklin

V.I. Vernadsky Crimean Federal University

Email: Miklin-O@mail.ru
ORCID iD: 0000-0002-4863-602X

Ph.D., Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Alla V. Dyshlovaya

Perinatal Center

Email: alusyatel@yandex.ru

Obstetrician-Gynecologist, Department of Gynecology

Russian Federation, Simferopol

Zoya S. Rumyantseva

V.I. Vernadsky Crimean Federal University

Email: zoyarum@inbox.ru
ORCID iD: 0000-0002-1711-021X

Ph.D., Associate Professor, Acting Head of the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Oksana V. Gudz

Simferopol Clinical Maternity Hospital No. 2

Email: pugovlaoks@mail.ru
ORCID iD: 0000-0002-4881-6792

Assistant at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Polina A. Yermachkova

V.I. Vernadsky Crimean Federal University

Author for correspondence.
Email: 2ermachkova-polina@mail.ru
ORCID iD: 0000-0002-8782-4007

Student, Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Alexandra N. Kravchenko

V.I. Vernadsky Crimean Federal University

Email: unicorn_tomo@mail.ru
ORCID iD: 0000-0002-9992-8874

Student, Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Anna N. Sulima

V.I. Vernadsky Crimean Federal University

Email: 2ermachkova-polina@mail.ru

Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Natalia A. Reznichenko

V.I. Vernadsky Crimean Federal University

Email: 2ermachkova-polina@mail.ru

Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

Sergey S. Anikin

V.I. Vernadsky Crimean Federal University

Email: 2ermachkova-polina@mail.ru

PhD, Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Russian Federation, Simferopol

References

  1. Буянова C.Н., Щукина Н.А., Зубова Е.С., Сибряева В.А., Рижинашвили И.Д. Пролапс гениталий. Российский вестник акушера-гинеколога. 2017; 17(1): 37-42. [Buianova S.N., Shchukina N.A., Zubova E.S., Sibryaeva V.A., Rizhinashvili I.D. Genital prolapse. Russian Bulletin of Obstetrician-Gynecologist. 2017; 17(1): 37 45. (in Russian)]. https://dx.doi.org/10.17116/rosakush201717137-45
  2. Нечипоренко Н.А., Кажина М.В., Юцевич Г.В. Опущение и выпадение внутренних половых органов у женщин: решение медицинского аспекта проблемы. Журнал Гродненского государственного медицинского университета. 2016; 3: 117-9. [Nechiporenko N.A., Kazhina M.V., Yutsevich G.V. Omission and loss of internal genitals in women: solving the medical aspect of the problem. Journal of Grodno State Medical University. 2016; (3): 117-9. (in Russian)].
  3. Norton J.C., Khalil M.I., Bhandari N.R. Early postoperative complications and factors associated with early vs late discharge of patients undergoing colporrhaphy for pelvic organ prolapse: a national report. Urol. Pract. 2021; 8: 431.
  4. Maher C., Feiner B., Baessler K., Christmann-Schmid C., Haya N., Brown J. Surgery for women with anterior compartment prolapse. Cochrane Database Syst. Rev. 2016; 11(11): CD004014. https://dx.doi.org/10.1002/ 14651858.CD004014.pub6
  5. Friedman T., Eslick G.D., Dietz H.P. Risk factors for prolapse recurrence: systematic review and meta-analysis. Int. Urogynecol. J. 2018; 29(1): 13-21. https://dx.doi.org/10.1007/s00192-017-3475-4
  6. Мгелиашвили М.В., Буянова С.Н., Петракова С.А., Юдина Н.В. Особенности хирургического лечения пациенток молодого возраста с тяжелыми формами пролапса гениталий. Российский вестник акушера-гинеколога. 2017; 17(6): 49-52. [Mgeliashvili M.V., Buyanova S.N., Petrakova S.A., Yudina N.V. Features of surgical treatment in young patients with severe genital prolapse. Russian Bulletin of Obstetrician-Gynecologist. 2017; 17(6): 49-52. (in Russian)]. https://dx.doi.org/10.17116/rosakush201717649-52
  7. Серов В.Н., Сухих Г.Т., Прилепская В.Н., Радзинский В.Е., ред. Руководство по амбулаторно-поликлинической помощи в акушерстве и гинекологии. 3-е изд. М.: ГЭОТАР-Медиа; 2018. 215с. [Serov V.N., Sukhikh G.T., Prilepskaya V.N., Radzinsky V.E., eds. Guide to outpatient care in obstetrics and gynecology. 3rd ed. Moscow: GEOTAR-Media; 2018. 215p. (in Russian)].
  8. Чечнева М.А., Барто Р.А., Будыкина Т.С., Краснопольская И.В., Абрамян К.Н. Современные представления о патогенезе, диагностике и способах коррекции пролапса гениталий и его осложнений (обзор литературы). Патогенез. 2014; 12(4): 4-9. [Chechneva M.A., Barto R.A., Budykina T.S., Krasnopolskaya I.V., Abramyan K.N. Current insights into the pathogenesis, diagnosis, and correction of genital prolapse and its complications (literature review). Pathogenesis. 2014; 12(4): 4-9. (in Russian)].
  9. Мусин И.И., Нафтулович Р.А., Абсалямова Д.Ф., Лузина Л.В., Попова Е.М., Алтынов Д.В., Молоканова А.Р., Ящук К.Н. Выбор метода реконструктивных операций при пролапсе гениталий с учетом дополнительных факторов риска. Практическая медицина. 2020; 18(2): 46-50. [Musin I.I., Naftulovich R.A., Absalyamova D.F., Luzina L.V., Popova E.M., Altynov D.V., Molokanova A.R., Yashchuk K.N. Choise of reconstructive operations method for genital prolapse with additional risk factors. Practical Medicine. 2020; 18(2): 46-50. (in Russian)]. https://dx.doi.org/10.32000/2072-1757-2020-2-46-50
  10. Курбанов Б.Б. Сравнительная оценка эффективности хирургического лечения пролапса гениталий. Вестник Национального медико-хирургического Центра им. Н.И. Пирогова. 2018; 13(2): 84-7. [Kurbanov B.B. Differentiated approach to the choice of genital prolapse surgical treatment. Bulletin of the N.I. Pirogov National Medical and Surgical Center. 2018; 13(2): 84-7. (in Russian)].
  11. Меховская Л.Ю., Елгина С.И., Мозес В.Г., Рудаева Е.В., Мозес К.Б. Опыт применения гинекологического пессария доктора Арабин в клинической практике. Мать и дитя в Кузбассе. 2020; 3: 56-60. [Mekhovskaya L.Y., Elgina S.I., Mozes V.G., Rudaeva E.V., Mozes K.B. Experience of using Dr. Arabin’s gynecological pessary in clinical practice. Mother and Child in Kuzbass. 2020; (3): 56-60. (in Russian)]. https://dx.doi.org/10.24411/ 2686-7338-2020-10036
  12. Illiano E., Mearini L., Zucchi A. PD17-01. A subanalysis of a randomized controlled trial: abdominal vs laparoscopic sacrocolpopexy. J. Urol. 2017; 197: E352-E3E3.
  13. Bohlin K.S., Ankardal M., Nüssler E., Lindkvist H., Milsom I. Factors influencing the outcome of surgery for pelvic organ prolapse. Int. Urogynecol. J. 2018; 29(1): 81-9. https://dx.doi.org/10.1007/s00192-017-3446-9
  14. Sanses T.V.D., Schiltz N.K., Richter H.E., Koroukian S.M. Trends and factors influencing inpatient prolapse surgical costs and length of stay in the United States. Female Pelvic Med. Reconstr. Surg. 2016; 22(2): 103-10. https://dx.doi.org/ https://dx.doi.org/10.1097/SPV.0000000000000225
  15. Беженарь В.Ф., Гусева Е.С., Русина Е.И., Цуладзе Л.К. Сравнительная оценка осложнений и качества сексуальной жизни после коррекции генитального пролапса различными синтетическими имплантатами. Российский вестник акушера-гинеколога. 2014; 14(2): 57-63. [Bezhenar' V.F., Guseva E.S., Tsypurdeeva A.A., Rusina E.I., Tsuladze L.K. Comparative assessment of complications and quality of sexual life after genital prolapse correction with different synthetic implants. Russian Bulletin of Obstetrician-Gynecologist. 2014; 14(2): 57 62. (in Russian)].
  16. Dubuisson J., Veit-Rubin N., Bouquet de Jolinière J., Dubuisson J.-B. Laparoscopic lateral suspension: benefits of a cross-shaped mesh to treat difficult vaginal vault prolapse. J. Minim. Invasive Gynecol. 2016; 23(5): 672. https://dx.doi.org/10.1016/j.jmig.2016.01.028
  17. Baines G., Price N., Jefferis H., Cartwright R., Jackson S.R. Mesh-related complications of laparoscopic sacrocolpopexy. Int. Urogynecol. J. 2019; 30(9): 1475-81. https://dx.doi.org/10.1007/s00192-019-03952-7
  18. Шкарупа Д.Д., Кубин Н.Д., Попов Э.Н., Шаповалова Е.А., Зайцева А.О. Унилатеральный апикальный слинг — новый взгляд на сакроспинальную фиксацию. Журнал акушерства и женских болезней. 2019; 68(1): 37-46. [Shkarupa D.D., Kubin N.D., Popov E.N., Shapovalova E.A., Zaitseva A.O. Unilateral apical sling: a new look at the sacrospinous fixation. Journal of Obstetrics and Women’s Diseases. 2019; 68(1): 37-46. (in Russian)]. https://dx.doi.org/10.17816/JOWD68137-46
  19. Гаврилов М.В., Лапина И.А., Таранов В.В., Кольтинова Т.Г. Опыт коррекции пролапса гениталий при помощи лапароскопической латеральной кольпопексии у пациенток, перенесших тотальную или субтотальную гистерэктомию. РМЖ. Мать и дитя. 2019; 2(1): 28-32. [Gavrilov M.V., Lapina I.A., Taranov V.V., Koltinova T.G. Experience in the correction of genital prolapse with laparoscopic lateral suspension in patients underwent total or subtotal hysterectomy. RMJ. Mother and Child. 2019; 2(1): 28-32. (in Russian)].
  20. Chevrot A., Droupy S., Linares E., de Tayrac R., Costa P., Wagner L. Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: A 3-year prospective study. Prog. Urol. 2016; 26(10): 558-65. https://dx.doi.org/10.1016/j.purol.2016.02.009
  21. Ichikawa M., Kaseki H., Akira S. Laparoscopic versus abdominal sacrocolpopexy for treatment of multi-compartmental pelvic organ prolapse: A systematic review. Asian J. Endosc. Surg. 2018; 11(1): 15-22. https://dx.doi.org/10.1111/ases.12478
  22. Министерство здравоохранения Российской Федерации. Клинические рекомендации «Выпадение женских половых органов». 2021. Доступно по: https://roag-portal.ru/recommendations_gynecology 23. [Ministry of Health of the Russian Federation. Female Genital Prolapse Clinical Guidelines. 2021. (in Russian)]. Available at: https://roag-portal.ru/ recommendations_gynecology

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