The experience of genital prolapse treatment and urine incontinence using synthetic materials

V. I. Krasnopolskiy; Краснопольский В. И.; S. N. Buyanova; Буянова С. Н.; V. D. Petrova; Петрова В. Д.; Т. G. Muravyeva; Муравьева Т. Г.; L. V. Evsyukova; Евсюкова Л. В.; М. А. Putilovskiy; Путиловский М. А.

doi:10.17816/JOWD87480

The experience of genital prolapse treatment and urine incontinence using synthetic materials

Authors: Krasnopolskiy V.I.¹, Buyanova S.N.¹, Petrova V.D.¹, Muravyeva Т.G.¹, Evsyukova L.V.¹, Putilovskiy М.А.¹
Affiliations:
1. Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Issue: Vol 54, No 5S (2005)
Pages: 68-69
Section: Reviews
Submitted: 15.11.2005
Accepted: 10.11.2021
Published: 15.11.2005
URL: https://journals.eco-vector.com/jowd/article/view/87480
DOI: https://doi.org/10.17816/JOWD87480
ID: 87480

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Abstract

Keywords

treating genital prolapse, stress urinary incontinence, the use of synthetic materials in surgery, surgical gynecology

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Background: genital prolaps which developes especially in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing is a common manifestation of generalized connective tissue defect (CTD) on the level of reproductive system. The Ist and IIId types of collagen define mechanical structure of ligaments. The immunohistochemical investigations in cases of CTD showed sufficient expression of the Ist and IIId types of collagen but they did not form typical dimensional structure and were replaced of IVth type of collagen that led to altered mechanical characteristics of ligaments.

Materials and methods. The method of surgery in patients with altered uterine fixation was aimed on liquidation of uterine prolapse and prevention of its further reccurence. The basic surgery - hysterectomy- was added of vaginopexy with prolen transplantant (Gyne Mesh or Gyne Mesh soft). At 13,5% of patients with CTD MESH - vaginopexy was performed as the basic surgery. Also vaginal hysterectomy, anterior vaginl plastics using synthetic materials, TVT or TVT-0 and other surgeries were made. 10 patients with CTD desired to save the reproductive function underwent nonradical surgery.

Results. The using of synthetic materials in patients with CTD is rational because of insufficiency of their own tissues, development of severe genital prolapse and high risk of reccurence.

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The experience of genital prolapse treatment and urine incontinence using synthetic materials

Full Text

Abstract

Keywords

Full Text

About the authors

V. I. Krasnopolskiy

S. N. Buyanova

V. D. Petrova

Т. G. Muravyeva

L. V. Evsyukova

М. А. Putilovskiy

References

Supplementary files