Individual approach in the surgical treatment of genital prolapse in women: comparative analysis of treatment methods and outcomes
Meirmanova A.O. Omarova G.K. Begniyazova Z.S. Yuldasheva A.I. Ualiyeva A.E. Veliyeva A.T. Nashekenova Z.M. Diambekova L.S. Khampiyeva L.M.
31 December 2024Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2024#2024Issue 4122 - 129 pp.
Relevance: Genital prolapse is a common condition among peri-and postmenopausal women, significantly negatively affecting their quality of life. Modern surgical methods, such as vaginal hysterectomy (VH) and laparoscopically assisted vaginal hysterectomy (LAVH), have proven their effectiveness. However, the frequency of recurrences and complications with standard approaches highlights the need for individualized treatment that considers the anatomical, age-related, and social characteristics of the patients. The study aimed to determine the effectiveness of an individualized approach in the surgical treatment of genital prolapse in peri-and postmenopausal women to improve their quality of life and reduce the frequency of recurrences compared to traditional correction methods. Materials and Methods: The study involved 195 patients with grade III-IV genital prolapse. A comparative analysis of the outcomes of VH and LAVH with pelvic floor reconstruction was conducted. Indicators such as operation duration, blood loss, complication rate, quality of life after 1, 3, and 6 months, and recurrence rate were assessed. Statistical data processing was carried out using descriptive and comparative statistical methods. Results: LAVH demonstrated higher effectiveness than VH, including reduced recurrence rates (5% vs. 10%) and improved quality of life after 6 months (self-assessment score of 4.0 vs. 3.5 points). However, the LAVH method was characterized by increased operation duration and higher blood loss levels. Complications were noted in 5% of cases after LAVH and were absent in the VH group. Conclusion: An individualized approach to treating genital prolapse improves the effectiveness of surgical interventions, reduces recurrence rates, and enhances the quality of life for patients. Despite their greater complexity, the use of laparoscopically assisted methods is recommended for patients with a high risk of complications or recurrences.
complications , genital prolapse , individualized approach , laparoscopic surgery , quality of life , recurrence , vaginal hysterectomy
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Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Al-Farabi Kazakh National University, Almaty, Kazakhstan
City Clinical Hospital No. 4, Almaty, Kazakhstan
Kazakhstan Medical University Higher School of Public Health
Asfendiyarov Kazakh National Medical University
Al-Farabi Kazakh National University
City Clinical Hospital No. 4
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