nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical Universitynefr-39Research ArticleЖУРНАЛ В ЖУРНАЛЕ (актуальные вопросы урологии, педиатрии, гериатрии)JOURNAL IN THE JOURNAL (ACTUAL PROBLEMS OF UROLOGY, PEDIATRICS, GERIATRICS)Клиническая оценка урологических симптомов при пролапсе тазовых органов 4 стадии у женщинClinical assessment of urological symptoms in women with pelvic organs prolapse of the 4th stageМироновВ. Н.MironovV. N.mirurology@mail.ruЧелябинская государственная медицинская академияRussian Federation2014010720141846267Copyright © Миронов В.Н., 20142014Миронов В.Н.Mironov V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/39

ЦЕЛЬ ИССЛЕДОВАНИЯ состояла в изучение характера и частоты симптомов нижних и верхних мочевых путей у пациенток с пролапсом тазовых органов 4 стадии, а также в оценке эффективности хирургической реконструкции таза и коррекции выявленных нарушений. ПАЦИЕНТЫ И МЕТОДЫ. В исследовании участвовало 89 женщин с пролапсом тазовых органов 4 стадии. РЕЗУЛЬТАТЫ. У всех 89 (100%) пациенток до операции отмечались затрудненное, учащенное мочеиспускание и неполное опорожнение мочевого пузыря. Двусторонний уретерогидронефроз был выявлен у 20 (22,5%) из 89 пациенток. Выполненные операции обеспечили эффективное восстановление нормальной анатомии тазового дна и устранение обструктивных симптомов у 86 (96,6%) из 89 оперированных пациенток. У 47 (52,8%) из 89 женщин в послеоперационном периоде появилось недержание мочи при напряжении. ЗАКЛЮЧЕНИЕ. Трансвагинальная операция с использованием сетчатых эндопротезов обеспечивает эффективное восстановление нормальной анатомии тазового дна и устранение обструктивных симптомов мочеиспускания. Однако появление у более чем половины больных клиники стресс-недержания мочи требует разработки методов прогнозирования этого осложнения и обоснования показаний к выполнению одномоментной комбинированной операции.

AIM. The aim of the investigation was to study the character and frequency of lower and upper urinary tract symptoms in patients with pelvic organs prolapse of the 4th stage, as well as to estimate the effectiveness of reconstructive surgery of the pelvis and correction of detected impairments. PATIENTS AND METHODS. 89 women with pelvic organs prolapse of the 4th stage participated in the investigation. RESULTS. All 89 (100%) patients had difficult frequent urination and incomplete emptying of the bladder before the operation. Bilateral ureterohydronephrosis was revealed in 20 (22,5%) of 89 patients. Performed operations provided effective reconstruction of normal anatomy of the pelvic floor and eradicated obstructive symptoms in 86 (96,6%) of 89 patients. In 47 (52,8%) of 89 women urine stress-incontinence developed during the postoperative period. CONCLUSION. Transvaginal operation with the use of mesh endoprostheses results in effective normal anatomy restoration of obstructive symptoms of urination. However the development of urine stress-incontinence in more than half of patients requires methods of prognosing of this complication and reasoning of indications for performing single-stage combined operation.

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The authors declare that there are no conflicts of interest present.