Surgical management of pelvic organ prolapse and stress urinary incontinence in women


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Abstract

The study was aimed to evaluation of the feasibility of simultaneous transvaginal reconstruction of pelvic floor using mesh implants and loop urethropexy in stress urinary incontinence against the background of pelvic organ prolapse, or arising after reconstructive surgery for pelvic prolapse. The study included 206 patients with III and IV stage pelvic organ prolapse. The first group consisted of 72 women with pelvic organ prolapse accompanied by stress urinary incontinence. The second group included 134 patients with III and IV stage pelvic organ prolapse not accompanied by stress urinary incontinence. In both groups, performed transvaginal pelvic floor reconstruction using mesh implants in combination with or without loop urethropexy was performed. Optimal treatment of patients with stress urinary incontinence, accompanied by genital prolapse or emerged after reconstructive surgery, includes loop urehtropexy approximately 2-3 months after the final fixation of the mesh implant set for correction of pelvic prolapse.

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About the authors

A. S Shulgin

SBEI HPE South Ural State Medical University of RMPH

Email: shulginandrey74@mail.ru
PhD in Medical Sciences, Assistant Professor at the Department of Faculty Surgery, Head of urological department № 1б Chelyabinsk CCH № 3

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