Genital prolapse in women of reproductive age: structural changes in the pelvic floor support system
- Authors: Remneva O.V.1, Ivanyuk I.S.1, Gal'chenko A.I.1, Semenikhina N.M.1
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Affiliations:
- Altai State Medical University, Ministry of Health of Russia
- Issue: No 7 (2024)
- Pages: 81-86
- Section: Original Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/635287
- DOI: https://doi.org/10.18565/aig.2024.97
- ID: 635287
Cite item
Abstract
Objective: This study aimed to examine the structural characteristics of pelvic floor muscles using ultrasound and histological examinations.
Materials and methods: In this study, 31 patients with POP-Q grade I–II genital prolapse and 30 women without pelvic organ prolapse were evaluated using pelvic floor ultrasound. The histological study involved examining muscle tissue samples from the m. levator ani obtained during the surgical correction of severe genital prolapse in 10 women.
Results: Among patients with genital prolapse, there was a significant decrease in the height of the perineal tendon center as well as the thickness of the bulbocavernosus and puborectalis muscles (p<0.05). The study group also exhibited an increase in the area of the levator fissure and levator-urethra gap. Histological examination of five m. levator ani samples revealed varying degrees of fibrosis and a decrease in the cross-sectional area of the muscle fibers.
Conclusion: Pathognomonic signs of genital prolapse include pelvic floor dysfunction and disruption of the integrity and structure of muscle fibers, characterized by the replacement of normal tissue with fibrosis and dystrophic changes.
Full Text
About the authors
Ol'ga V. Remneva
Altai State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: rolmed@yandex.ru
ORCID iD: 0000-0002-5984-1109
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology
Russian Federation, BarnaulIrina S. Ivanyuk
Altai State Medical University, Ministry of Health of Russia
Email: Ivanukirina@yandex.ru
ORCID iD: 0000-0002-6895-7103
PhD Student at the Department of Obstetrics and Gynecology
Russian Federation, BarnaulAnzhelika I. Gal'chenko
Altai State Medical University, Ministry of Health of Russia
Email: rolmed@yandex.ru
ORCID iD: 0000-0003-3013-7764
PhD, Associate Professor at the Department of Obstetrics and Gynecology
Russian Federation, BarnaulNatalya M. Semenikhina
Altai State Medical University, Ministry of Health of Russia
Email: rolmed@yandex.ru
ORCID iD: 0000-0003-4954-1716
PhD, Associate Professor at the Department of Anatomy
Russian Federation, BarnaulReferences
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