CLINICAL MANIFESTATIONS AND THEIR ANALYSIS IN BENIGN TUMORS OF THE UTERUS AND ITS ADNEXA IN THE SETTING OF GENITAL PROLAPSE
Keywords:
genital prolapse, uterine fibroids, benign tumors of the uterus and its adnexa, pelvic floor insufficiency, POP-Q classification, uterus-preserving surgery, clinical recommendations for practicing physicians.Abstract
This article is devoted to contemporary clinical approaches to the management of patients with benign tumors of the uterus and its adnexa in the setting of genital prolapse. The paper highlights etiological factors, pathogenetic mechanisms, features of the clinical course, and diagnostic principles characteristic of the combined presentation of these conditions. Conservative and surgical treatment options that ensure an individualized approach to patient care are presented, including the advantages and indications for uterus-preserving procedures. Based on the principles of evidence-based medicine, diagnostic and treatment algorithms are proposed, and practical recommendations for their implementation in clinical practice are provided.
References
Adamyan L. V., Logutova L. S. Organosokhranyayushchie operatsii pri sochetannoy ginekologicheskoy patologii // Akusherstvo i ginekologiya. — 2023. — № 2. — B. 34–41.
Bezhenar V. F., Popov A. A. Khirurgicheskoe lechenie prolapsa genitaliy s sokhraneniem matki // Zhurnal akusherstva i zhenskikh bolezney. — 2023. — T. 72. — № 5. — B. 58–66.
Sidorova I. S., Unanyan A. L. Mioma matki v sochetanii s prolapsom: vybor obyoma operatsii // Akusherstvo i ginekologiya. — 2024. — № 1. — B. 19–26.
Kuznetsova I. V. Kombinirovannaya patologiya tazovogo dna u zhenshchin starshego vozrasta // Klinicheskaya meditsina. — 2024. — T. 102. — № 7. — B. 72–78.
Anamnesticheskie faktory riska prolapsa genitaliy u zhenshchin / Yu. L. Timoshkova, A. A. Shmidt, T. E. Kurmanbaev [i dr.] // Vyatskiy meditsinskiy vestnik. — 2021. — T. 1. — № 69. — B. 59–63.
Bychenko V. V. Prolaps tazovykh organov u zhenshchin — skrytaya ugroza (obzor literatury) // Vestnik Syktyvkarskogo universiteta. Seriya 2. Biologiya. Geologiya. Khimiya. Ekologiya. — 2021. — T. 2. — № 18. — B. 73–80.
Vasin R. V., Filimonov V. B., Vasina I. V. Genitalnyy prolaps: sovremennye aspekty operativnogo lecheniya (obzor literatury) // Eksperimentalnaya i klinicheskaya urologiya. — 2017. — № 1. — B. 104–115.
Vybor metoda rekonstruktivnykh operatsiy pri prolapse genitaliy s uchetom dopolnitelnykh faktorov riska / I. I. Musin, R. A. Naftulovich, D. F. Absalyamova [i dr.] // Prakticheskaya meditsina. — 2020. — T. 18. — № 2. — B. 46–50.
Gustovarova T. A., Kirakosyan L. S., Framuzova E. E. Posleoperatsionnye rezultaty khirurgicheskogo lecheniya genitaliy // Kubanskiy nauchnyy meditsinskiy vestnik. — 2021. — T. 28. — № 1. — B. 43–52.
Gavrilova T. V. Transvaginalnaya khirurgicheskaya profilaktika postgisterektomicheskogo prolapsa kupola vlagalishcha u patsientok s polnym vypadeniyem matki: Avtoref. dis. … kand. med. nauk; 14.01.01. — Moskva, 2021. — 24 b.
Gutikova L. V. Prolaps genitaliy: sovremennoe sostoyanie problemy // Zhurnal Grodnenskogo gosudarstvennogo meditsinskogo universiteta. — 2012. — T. 1. — № 37. — B. 86–89.
Denisova T. B. Optimizatsiya khirurgicheskogo lecheniya zhenshchin s prolapsom tazovykh organov: Dis. … kand. med. nauk; 14.01.01. — Moskva, 2010. — 132 b.
Diagnosticheskaya znachimost dopolnitelnykh instrumentalnykh metodov obsledovaniya patsientok s prolapsom genitaliy / L. Ya. Salimova, O. N. Shalimov, S. A. Parsadanyan [i dr.] // Vestnik Rossiyskogo universiteta druzhby narodov. Seriya: Meditsina. — 2013. — № S5. — B. 164–169.
Diagnosticheskie i takticheskie slagaemye uspeshnogo resheniya problemy oslozhnennogo genitalnogo prolapsa u zhenshchin / M. V. Kazhina, I. N. Yagovdik, O. A. Peresada [i dr.] // Reproduktivnoe zdorove. Vostochnaya Evropa. — 2012. — T. 4. — № 22. — B. 25–34.
Displaziya soedinitelnoy tkani i ee vliyanie na zhenskoe zdorove / I. Yu. Ilina, L. S. Aleksandrov, A. A. Ishchenko [i dr.] // Opinion Leader. — 2020. — T. 2. — № 31. — B. 76–79.
Erema V. V. Taktika vedeniya zhenshchin s mochevoy disfunktsiey pri nalichii tyazheloy stadii perednego i/ili apikalnogo prolapsa do i posle ego khirurgicheskoy korrektsii: Avtoref. dis. … kand. med. nauk; 14.01.01. — Moskva, 2021. — 21 b.
Ivantsova E. N., Petrosyan G. T., Smirnova T. I. Sovremennye predstavleniya o prolapse genitaliy u zhenshchin // Smolenskiy meditsinskiy almanakh. — 2020. — № 1. — B. 138–140.
Iskhody operativnogo lecheniya nedostatochnosti myshts tazovogo dna 3 stepeni u zhenshchin pozhilogo vozrasta / O. S. Korotkevich, V. G. Mozes, I. A. Eyzenakh [i dr.] // Byulleten meditsinskoy nauki. — 2020. — T. 1. — № 17. — B. 34–41.
Kazhina M. V., Yagovdik I. N., Kuznetsov R. V. Osobennosti primeneniya klassifikatsionnykh printsipov POP-Q v praktike akushera-ginekologa. — Grodnenskiy gosudarstvennyy meditsinskiy universitet, 2011. — B. 68–72.
Kachestvo zhizni zhenshchin reproduktivnogo vozrasta, stradayushchikh nedostatochnostyu myshts tazovogo dna / E. S. Silanteva, M. R. Orazov, M. B. Khamoshina [i dr.] // Trudnyy patsient. — 2021. — T. 19. — № 1. — B. 14–17.
Kliniko-anamnesticheskie faktory riska razvitiya prolapsa genitaliy u zhenshchin / A. M. Ziganshin, I. M. Nasibullin, R. A. Khalikov [i dr.] // Vestnik sovremennoy klinicheskoy meditsiny. — 2017. — T. 10. — № 4. — B. 23–26.