Surgical correction and conservative therapy for pelvic organ prolapse

Background. Pelvic organ prolapse (POP) occurs in 50% of women of reproductive age. POP develops as a result of birth trauma or is a consequence of non-traumatic injury - irreversible excessive stretching of levators and other structures that form the pelvic floor, which determines the choice of treatment strategies - surgical or conservative. Results. To diagnose traumatic injuries of the levator ani muscle and fascia, manual techniques are used that are simple, accessible and characterized by high sensitivity and specificity. POP correction strategies include surgical treatment aimed at restoring the anatomical structures and function of the pelvic floor, or conservative treatment in the absence of obvious traumatic injuries, starting from the early stages, in order to prevent the progression of the disease or as symptomatic help in more severe clinical situations. The high efficiency of using the urogynecological Dr. Arabin pessaries in reducing the symptoms of POP (54.7%) and overall patient satisfaction (88.4%) allows this technology to be considered as the first step in management of patients with POP, including severe forms (III-IV degree). Conclusions. The high prevalence of POP among women after childbirth dictates the need for an objective assessment of the condition of the pelvic floor and a differentiated approach to the timely provision of medical care.

pelvic organ prolapse, prolapse diagnostics, surgical treatment, Dr. Arabin pessaries