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A METHOD OF SURGICAL TREATMENT OF URINARY INCONTINENCE AFTER VAGINAL EXTIRPATION OF THE UTERUS

Abstract

Purpose of the study. The presented surgical method for treating urinary incontinence after vaginal extirpation shows the possibility of achieving a lasting therapeutic effect by restoring the pelvic fascia defect using native tissues (stumps of ligaments and appendages).

Material and methods: 30 patients were operated on with complete uterine prolapse combined with urinary incontinence in the scope of vaginal hysterectomy without appendages with correction of urinary incontinence with the stumps of ligaments and appendages. Based on this method, a patent for invention No. 2799140 dated July 4, 2023 was developed and received. "Method of surgical treatment of urinary incontinence after vaginal hysterectomy".

Conclusion. The results obtained when using this method after vaginal extirpation of the uterus allows for the correction of stress urinary incontinence in combination with complete uterine prolapse without the use of a mesh implant using native tissues. As a result a stable preventive and therapeutic effect of recurrent urinary incontinence is achieved.

About the Authors

N. I. Nikitin
ФГБОУ ВО «Башкирский медицинский государственный университет» Минздрава России
Russian Federation


I. V. Sakhautdinova
ФГБОУ ВО «Башкирский медицинский государственный университет» Минздрава России
Russian Federation


V. F. Allayarova
ГБУЗ РБ Городская клиническая больница №13
Russian Federation


E. M. Zulkarneeva
ФГБОУ ВО «Башкирский медицинский государственный университет» Минздрава России
Russian Federation


References

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2. Smelov P.A. [et al.] Zdravoohranenie v Rossii. 2021: statisticheskij sbornik (Healthcare in Russia. 2021: statistical collection). Moscow: Rosstat, 2021:171. (in Russ).

3. Savelyeva G.M, Sukhikh G.T., Serov V.N., Radzinsky V.E., Manukhin I.B. Ginekologija (Gynecology). National guide. Moscow: GEOTAR - Media, 2022:1008. (in Russ).

4. Gomel W., Brill EI. Reconstructive and reproductive surgery in gynecology. Publishing house «Informa Healthcare», New York London, 2010:439 (In Engl)

5. Sposob hirurgicheskogo lechenija rektocele s ispol'zovaniem lobkovo-prjamokishechnoj myshcy (The method of surgical treatment of rectocele using the pubic-rectum muscle): patent na izobretenie № 2752027 Ros. Federacija; zajavl. 13.01.2021; opubl. 22.07.2021. Bjul. №21:5 (in Russ).


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For citations:


Nikitin N.I., Sakhautdinova I.V., Allayarova V.F., Zulkarneeva E.M. A METHOD OF SURGICAL TREATMENT OF URINARY INCONTINENCE AFTER VAGINAL EXTIRPATION OF THE UTERUS. Bashkortostan Medical Journal. 2024;19(3):15-19. (In Russ.)

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ISSN 1999-6209 (Print)