SURGICAL APPROACHES TO FEMALE PELVIC ORGAN PROLAPSE: CLINICAL PRACTICE OF GYNECOLOGISTS IN THE REPUBLIC OF UZBEKISTAN

Abstract

Surgical treatment of pelvic organ prolapse (POP) is considered a functional approach aimed at restoring pelvic anatomy and eliminating symptoms that significantly affect patients' quality of life. Over the past decades, prolapse surgery has undergone significant changes under the influence of advances in surgical techniques and changing clinical preferences. With the development of evidence-based medicine, many traditional approaches have been rethought, and modern research continues to confirm or challenge the effectiveness of various surgical strategies. Understanding the relative advantages and limitations of existing techniques is an important factor in clinical decision-making and optimizing treatment outcomes. This paper presents a retrospective analysis of prolapse surgery performed by gynecologists in regional departments of the Republic over a five-year period. The surgical methods used and their compliance with clinical recommendations were evaluated, and shortcomings in the application of modern approaches were identified, particularly in terms of uterine preservation and apical support. The data obtained provide an insight into current trends in PTO surgery and highlight the need for wider implementation of modern urogynecological practices in regional clinical institutions.