METHOD FOR SURGICAL TREATMENT OF RECTOCELE WITH THE USE OF THE PUBLIC-RECTINAL MUSCLE IN WOMEN OF REPRODUCTIVE AGE

Abstract

In women of reproductive age, genital prolapse leads to dysfunction of the pelvic floor organs, which reduces their quality of life. To correct genital prolapse, the use of synthetic materials often leads to complications in the form of rejection and eruption of foreign implants.The purpose of the study in this article is to evaluate the effectiveness of the surgical method of treating rectocele in women of reproductive age using the pubic-rectal muscle.Material and methods. 2 groups of patients were under observation. All patients had a history of childbirth through the natural birth canal, medical abortions, curettage of the uterine cavity, birth trauma was noted. The effectiveness of the proposed surgicalmethod of rectocele treatment reflects the indicators of dynamic observation and the results of profilometry after surgery.The effectiveness of treatment was evaluated after 12 months.Results. The use of a surgical method for the treatment of rectocele with the use of pubic-rectal muscle in patients (group I) contributed to the exclusion of relapses of prolapse and prolapse of the posterior vaginal wall, unlike patients of group 2, who underwent typical levatoroplasty.Conclusion. The proposed method of rectocele correction with the use of the pubic-rectal muscle makes it possible to form a lasting therapeutic effect. This method is a reliable prevention of recurrence of rectal prolapse without the use of a mesh implant.