Obstetrics, Gynecology and Reproduction

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Vol 6, No 2 (2012)


6-13 293
Per-operative and post-operative complications of polypropylene mesh surgery with synthetic systems are characterized in this article. The methods of complications prevention and management are described.
14-17 324
This paper describes the classification, etiology, diagnosis and treatment of non-neoplastic diseases of the vulva. Terms and kraurosis leukoplakia of the vulva have no clear morphological equivalents, and display only certain clinical manifestations. Sclerosing shingles and squamous hyperplasia, often combined with each other and, in essence, is a single pathological process - with or without lichenification.
25-30 458

This paper presents the clinical and morphological variants of adenomyosis, reflecting the clinical features of disease caused by regular features of molecular-biological processes involved in the development of endometriosis disease, which implies a differentiated approach to the treatment of adenomyosis, depending on the variant of the disease.

31-34 342
Transmission of HIV from mother to child can occur during pregnancy, at childbirth and in the postpartum period when breastfeeding. The risk of transmission of HIV from mothers to their children depends on the stage of the mother’s disease. The use of chemoprophylaxis with the mother during pregnancy and childbirth, after the birth the child, reduces vertical transmission.
35-40 389

Results of medico-genetic examination of 304 married couples with infertility (608 individuals) are presented in article. Frequency of genetic abnormalities and infertility structure are revealed. Comparative analysis between 2 groups of couples with male as well as combined infertility is performed. The groups were formed according the results of infertility treatment using methods of ART. The factors having had statistically significant impact on fertility were revealed.

41-47 364
Objective. Identification and analysis of risk factors for stress urinary incontinence in women, assessing the relationship of stress urinary incontinence and undifferentiated connective tissue dysplasia. Subjects and methods. The study group included 85 women with a confirmed diagnosis of stress urinary incontinence, in the control group - 105 women without disease, comparable to the main features of the study group. We used clinical-anamnestic method of investigation, questioning (ICIQ-SF), a comprehensive urodynamic study. Evaluation of genital prolapse was conducted to quantity the classification of pelvic organ prolaps (POP-Q), assessment of severity of the connective tissue dysplasia was carried out on a scale of severity of the clinical criteria for connective tissue dysplasia, modified by Buyanova and Smolnova. Results. We established elevated risk of stress urinary incontinence in women with a BMI value of 30 kg/m 2, RR = 2,45 (95% Cl 1,21-4,94, p<0,05), as well as in the group of patients, with a history of major birth fetus through the birth canal, RR = 3,67 (95% Cl 1,39-9,69, p<0,005) and with a history of hysterectomy without adnexa (RR = 11,01, 95% Cl 1,42-85,2, p<0,05 ) Genetic predisposition, hard physical labor, hypertensive disease with regular intake of antihypertensive drugs drugs with a diuretic effect, osteoporosis and obesity play an important role in the development of stress urinary incontinence. A statistically significant increased risk of stress urinary incontinence were detected in the group with an average weight of connective tissue dysplasia (RR = 11,62, 95% CI 4,32-31,27, p<0,002), the most important features of wich were hypermotility of joints and the tendency to dislocation, varicose veins and hemorrhoids, hernia, prolapse and visceroptosia genatalia in close relatives. Conclusion. We found a clear association between stress urinary incontinence and connective tissue dysplasia, identified major risk factors for the disease.

ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)