Analysis of extragenital factors in the development of recurrence of genital prolapse
DOI:
https://doi.org/10.14739/2310-1210.2014.5.29142Keywords:
Uterine Prolapse, , Recurrence, Connective TissueAbstract
Аim. To analyze the extragenital factors in the development of recurrence of genital prolapsed.
Methods and results. 1795 women with recurrent genital prolapse (RGP) were examined. Retrospectively was analyzed that the development of dystrophic disturbances of the fascial-ligamentary apparats of genitals is polietiologic character: prolonged or excessive increase intraabdominal pressure and dystrophic changes in fascial-ligamentary apparats of genitals, what is responsible for their anatomical position. Incidence and nature of concomitant extragenital pathology in patients with recurrent genital prolapse were estimated in the article. The average rate of extragenital pathology was 3.2±0.1 diseases for one patient.
Conclusion. Retrospective analysis showed that one of the key positions in the pathogenesis of the development of recurrence of genital prolapse is connective tissue dysplasia. Extragenital forms of connective tissue dysplasia were observed in the form of a somatic pathology of cardio-vascular (r=0.25), broncho-pulmonary system (r=0.34) and gastrointestinal tract (r=0.35), varicose veins of the lower extremities (r=0.32), toe valgus deformity I (r=0.33), abdominal wall hernia (r=0.21), increased mobility of joints, loss of skin turgor. The incidence of diseases of these systems was 84,5%.
References
Bezmenko, A. A., Berlev, I. V. (2011). Etiologia i patogenez genital`nogo prolapsа [The etiology and pathogenesis of genital prolapse]. Zhurnal akusherstva i zhenskikh boleznej, 60(1), 129–138. [in Russian].
Tarabanova, O. V. (2011). E`ffektivnost` rekonstruktivnykh operacij na tazovom dne u ginekologicheskikh bol`nykh [The effectiveness of reconstructive operations on pelvic bottom of gynecological patients]. Zhurnal akusherstva i zhenskikh boleznej, 60(1), 78–82. [in Russian].
Potapov, V. O., Banakhevich, R. M., & Akimova, K. B. (2009). Sravnitel`naya kharakteristika segmenta vlagalishha [Comparative description of efficiency of reconstruction of segments of vagina]. Zhurnal akusherstva i zhenskikh boleznej, 58(5), 40–41. [in Russian].
Fialkow, M. F., Newton, K. M., & Weiss, N. S. (2008). Incidence of recurrent pelvic organ prolapse 10 years following primary surgical management: a retrospective cohort study. Int. Urogynecol. J. Pelvic Floor Dysfunct, 19(11), 1483–1487. doi: 10.1007/s00192-008-0678-8.
Antomonov, M. Yu. (2006). Matematicheskaya obrabotka i analis medico-biologicheskikh dannykh [Mathematical treatment and analysis of biomedical data]. Kyiv [in Ukrainian].
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)