akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2023.446akusherstvo-1841Research ArticleREVIEW ARTICLESНАУЧНЫЕ ОБЗОРЫPelvic organ prolapse: current understanding of the problemПролапс тазовых органов: современные представления о проблемеhttps://orcid.org/0000-0002-1935-4277ТкаченкоЛ. В.TkachenkoL. V.

Ткаченко Людмила Владимировна – д.м.н., профессор, профессор кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования.

400131 Волгоград, площадь Павших Борцов, д. 1

Lyudmila V. Tkachenko – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education.

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0002-3175-4847СвиридоваН. И.SviridovaN. I.

Свиридова Наталия Ивановна – д.м.н., доцент, зав. кафедрой акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования.

400131 Волгоград, площадь Павших Борцов, д. 1

Natalia I. Sviridova – MD, Dr Sci Med, Associate Professor, Head of the Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education.

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0001-6761-2990ГриценкоИ. А.GritsenkoI. A.

Гриценко Ирина Анатольевна – к.м.н., доцент кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования.

400131 Волгоград, площадь Павших Борцов, д. 1

Irina A. Gritsenko – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education.

1 Pavshikh Bortsov Square, Volgograd 400131

irina-gritsenko@yandex.ruhttps://orcid.org/0000-0003-0260-1670ДолговаВ. А.DolgovaV. A.

Долгова Валерия Андреевна – студент лечебного факультета.

400131 Волгоград, площадь Павших Борцов, д. 1

Valeriia A. Dolgova – Student, Faculty of General Medicine.

1 Pavshikh Bortsov Square, Volgograd 400131

doller2000@yandex.ruhttps://orcid.org/0000-0002-1956-6448ТихаеваК. Ю.TikhaevaK. Yu.

Тихаева Ксения Юрьевна – к.м.н., доцент кафедры патофизиологии, клинической патофизиологии.

400131 Волгоград, площадь Павших Борцов, д. 1

Ksenia Yu. Tikhaeva – MD, PhD, Associate Professor, Department of Pathophysiology, Clinical Pathophysiology.

1 Pavshikh Bortsov Square, Volgograd 400131

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияVolgograd State Medical University, Health Ministry of Russian FederationRussian Federation202304012023176784791Copyright © Tkachenko L.V., Sviridova N.I., Gritsenko I.A., Dolgova V.A., Tikhaeva K.Y., 20242024Ткаченко Л.В., Свиридова Н.И., Гриценко И.А., Долгова В.А., Тихаева К.Ю.Tkachenko L.V., Sviridova N.I., Gritsenko I.A., Dolgova V.A., Tikhaeva K.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/1841

Pelvic organ prolapse (POP) is a fairly common gynecological problem. The relevance for studying this disease is accounted for by a substantial impact it has on patients' quality of life. A part from physical discomfort, a woman suffering from POP experiences profound emotional depression, a sense of shame, which may result in refusing professional medical care. In the treatment of POP, it is necessary to take into account the features of morphological disorders as well as associated changes in vaginal microbiota. Here, we analyze current insights into POP causes and risk factors. The main advantages and drawbacks for diagnostic methods used have been identified, and promising options for POP predictive assessment are described. The effectiveness of the most common methods for conservative treatment is evaluated. In addition, we also describe the types of contemporary surgical correction as well as new modifications of operations to remove POP.

Пролапс тазовых органов (ПТО) является довольно распространенной гинекологической проблемой. Актуальность изучения данного заболевания обусловлена существенным влиянием на качество жизни пациентов. Помимо физического дискомфорта, женщина с ПТО испытывает значительное эмоциональное угнетение, чувство стыда, что может стать причиной отказа от визита к специалисту. При лечении ПТО необходимо учитывать особенности морфологических нарушений, а также ассоциированные изменения микробиоты влагалища. В обзоре проанализированы современные представления о причинах, факторах риска ПТО. Определены основные преимущества и недостатки используемых методов диагностики, а также описаны перспективные варианты предиктивной оценки ПТО. Оценена эффективность наиболее популярных способов консервативного лечения. Описаны виды современной хирургической коррекции, а также новые модификации операций по устранению ПТО.

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