DIFFERENTIAL APPROACH TO SURGICAL CORRECTION OF GENITAL PROLAPSE IN WOMEN AGED OVER 60 YEARS

Objective. To improve the outcomes of surgical treatment for genital prolapse (GP) in women over 60 years of age. Subject and methods. Three hundred and sixty-five 365 women over 60 years of age who had been operated on at the Unit of Gynecology, City Clinical Hospital Sixty-Four for GP in 2005—2010 were examined. Based on the data of clinical examination, ultrasonography and questionnaire surveys, the results of treatment were retrospectively assessed in the patients who had received different procedures for surgical correction of GP. Particular attention was given to patients with somatic manifestations or those with complete uterine prolapse and hernial sac formation. Results. The long-term results were traced in 89 patients. 97.7% of the patients achieved a satisfactory result. The best outcomes were achieved by the patients operated on using the Neugebauer-Le Fort technique of midline colporrhaphy both alone and as the second stage of the authors’ modified vaginal hysterectomy. Conclusion. The success of sugical treatment for POP in elderly and senile women depends on the adequate individual choice of the type of an operation. The proposed types of surgical treatment for different forms of genital prolapse in genital hernia could considerably improve quality of life in the patients and reduce recurrence rates.

genital prolapse, modified vaginal hysterectomy, Neugebauer-Le Fort operation