Combined surgical treatment of cysto- and rectocele in descent and abasement of female reproductive organs

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Abstract

The purpose of study: improvement of surgical treatment results of cysto- and rectocele in pelvic prolapse due to combined correction of anatomic and functional disorders using lesser invasive technologies.

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The purpose of study: improvement of surgical treatment results of cysto- and rectocele in pelvic prolapse due to combined correction of anatomic and functional disorders using lesser invasive technologies.

The material and study methods. The results of treatment of 47 women with pelvic prolapse and complaints for uroclepsia in strain, astrictions, rectal dissatisfaction, incopresis, gas incontience were analyzed, necessity of manual textbook in defecation (pelvic distsention syndrome). Clinical, laboratory, ultrasound (including transvaginal), urodynamic, proctographical (including straining effort) and endoscopic investigations were carried out. According to indications and technique, surgical treatment was performed which included: loop urethroplasty (TVT and TVT-O), transvaginal sacrovaginopexy (LS MESH) and prolapse correction (front and dorsal vaginal hysterotomy, Shturmdorf operation and so on).

The results were being studied from 3 months to 3 years after operation. At that questionaries, clinical, laboratory and ultrasound investigations were used.

The results of study. From second day after operation in patients under investigation, the complaints connected with pelvic distsention syndrome disappeared. First of all, the patients noted disappearance of stress incontinence and then problems connected with defecation act.

As a result of clinical and laboratory-instrumental investigation we did not educe the cases of backset of relapse and pelvic distsention syndrome.

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About the authors

A. I. Korkan

Post-qualifying obstetritian-gynaecologist education Institution

Author for correspondence.
Email: info@eco-vector.com
Kazakhstan, Nur-Sultan (Astana), Kazakhstan

А. I. Korabelnikov

Post-qualifying obstetritian-gynaecologist education Institution

Email: info@eco-vector.com
Kazakhstan, Nur-Sultan (Astana), Kazakhstan

I. Р. Korkan

Post-qualifying obstetritian-gynaecologist education Institution

Email: info@eco-vector.com
Kazakhstan, Nur-Sultan (Astana), Kazakhstan

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389
от 15.07.2002 г.



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