PLASTIKA TAZOVOGO DNA U ZhENShchIN S NEDERZhANIEM MOChI

The article presents the results of observation of 216 women aged 21-72 years with pelvic floor incompetence and stress urinary incontinence who underwent surgical treatment: anterior colporrhaphy with the plastic reconstruction of the sphincter of the bladder by the standard technique modified by authors, cystourethropexy (fixation of paraurethral tissues and bladder neck on the anterior abdominal wall), which was supplemented by posterior colporrhaphy with perineolevatoroplasty and amputation of the cervix according to the standard rules as appropriate. During follow-up period of 1 year to 10 years (2000-2010), good results were observed in 188 (87 %) patients, satisfactory result - in 22 (10,2 %) patients, unsatisfactory - in 6 (2,8 %) patients. After the surgery, there was a statistically significant reduction in the maximum urine flow rate and a statistically significant increase in the time of urination. This method of treatment impacts on all components of pathogenesis and performs the tasks of operative treatment of patients with stress urinary incontinence, and sufficiently completely eliminates all the changes of anatomical and functional state of the lower urinary tract, restoring the “single sphincteric mechanism of the pelvis". Since 2005, no postoperative pyoinflammatory complications were registered in patients who received vaginal drug Hexicon.

stress urinary incontinence, pelvic floor, surgical treatment of women with pelvic floor incompetence and stress urinary incontinence, Hexicon