Obstetrics and GynecologyObstetrics and GynecologyАкушерство и гинекология0300-90922412-5679Bionika Media24789510.18565/aig.2017.3.26-33ArticlesСтатьиResearch ArticleМodern approaches to diagnosis and conservative treatment of genital prolapse in women in the practice of gynecologistСовременные подходы к диагностике и консервативному лечению пролапса гениталий у женщин в практике гинекологаApolikhinaInna A.АполихинаИнна Анатольевна

MD, professor, obstetrician-gynecologist of the highest category, a physical therapist, head of the department of gynecology and aesthetic rehabilitation; Professor, Department of Obstetrics, Gynecology, Perinatology and Reproductive

д.м.н., профессор, врач акушер-гинеколог высшей категории, физиотерапевт, руководитель отделения эстетической гинекологии и реабилитации; профессор кафедры акушерства, гинекологии, перинатологии и репродуктологии

i_apolikhina@oparina4.ruChochuevaAdalina S.ЧочуеваАдалина Сагитовна

resident of the 1st year of study

ординатор 1-го года обучения

SaidovaAina S.СаидоваАйна Салавдиновна

MD, obstetrician-gynecologist gynecology department of aesthetic and rehabilitation

к.м.н., врач акушер-гинеколог отделения эстетической гинекологии и реабилитации

dr.saidova@gmail.ruGorbunovaElena A.ГорбуноваЕлена Алексеевна

obstetrician-gynecologist, a physiotherapist aesthetic gynecology department and rehabilitation

врач акушер-гинеколог, физиотерапевт отделения эстетической гинекологии и реабилитации

el_gorbunova@oparina4.ruKaganIlya I.КаганИлья Иосифович

MD, professor of Prof. S.S. Mikhailov Department of Operative Surgery and Topographic Anatomy

д.м.н., профессор кафедры оперативной хирургии и топографической анатомии им. проф. С.С. Михайлова

kaganil@mail.ruResearch Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of RussiaФГБУ НЦАГиП им. академика В.И. Кулакова Минздрава РоссииFirst Moscow State Medical University, Ministry of Health of RussiaГБОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава РоссииResearch Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of RussiaФГБУ НЦАГиП академика В.И. Кулакова Минздрава РоссииOrenburg State Medical AcademyОренбургская государственная медицинская академия150320173NO3 (2017)№3 (2017)263318022023Copyright ©; 2017, Bionika MediaCopyright ©; 2017, ООО «Бионика Медиа»2017Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/0300-9092/article/view/247895

Objective. To acquaint readers with modern approaches to diagnosis and treatment of genital prolapse in women. Material and methods. A systematic review of the published literature on the diagnosis and treatment of pelvic organ prolapse (POP). Results. Analysis of published data shows that modern principles of diagnosis of genital prolapse, such as perineal ultrasound 2D and 3D ultrasound, greatly extends the examination of patients with pelvic floor changes, it allows to objectify the process of examination and treatment. The use of pessaries is the first line of conservative treatment POP. A variety of shapes and sizes allows individual selection of the desired type for each patient. Pessaries have virtually no contraindications, which allows to recommend them almost all patients with POP. Conclusion. Taking into account the efficiency of the above approaches to diagnosis and treatment of genital prolapse in women, it is necessary their implementation in practical healthcare.

Цель исследования. Ознакомить читателей с современными подходами к диагностике и лечению пролапса гениталий у женщин. Материал и методы. Проведен систематический обзор опубликованной литературы по диагностике и лечению пролапса тазовых органов. Результаты. Анализ литературных данных показал, что современные принципы диагностики пролапса гениталий, такие как промежностное 2D УЗИ и 3D УЗИ, значительно расширяют возможности обследования пациенток с изменениями тазового дна, позволяет объективизировать процесс обследования и лечения. Применение пессариев является первой линией консервативного лечения пролапсов тазовых органов. Разнообразие их форм и размеров дает возможность индивидуального подбора необходимого вида для каждой пациентки. Пессарии почти не имеют противопоказаний, что позволяет их рекомендовать практически всем пациенткам с пролапсом тазовых органов. Заключение. Учитывая эффективность приведенных подходов к диагностике и лечению пролапса гениталий у женщин, необходимо их внедрение в практическое здравоохранение.

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