Lytvinov O. The choice of surgical treatment of patients with genital prolapse and stress urinary incontinence.

The aim of the study was to improve the results of surgical treatment of women suffering from stress urinary incontinence in combination with pelvic organ prolapse, based on the selection of the optimal surgical approach through the use of a modified urodynamic examination. Were studied the peculiarities of the history and clinical status, the state of continence, the results of different types of surgery in women with pelvic organ prolapse and without it. Were proved that the uncorrected genital prolapse is a factor that increase the probability of negative results of surgical treatment of stress urinary incontinence in patients who has undiagnosed before surgery genital prolapse which was not taken into account when making decision about type of surgery. Was shown that the use of devices that simulate correction of prolapse allows a differentiate 2 and 3 types of urinary incontinence in women with urinary incontinence, which accompanied by genital prolapse. On the basis of urodynamic studies results in simulation of prolapse correction there is possibility to predict the appearance of stress urinary incontinence after prolapse surgical correction, to determine the indications for simultaneous correction of prolapse and urinary incontinence, as well as to avoid unnecessary surgery for stress urinary incontinence. The clinical implementation of advanced minimally invasive technique of surgical treatment of various types of stress urinary incontinence in combination with pelvic organ prolapse has reduced the number of complications, relapse rate, shorten the duration of treatment, increase the effectiveness of surgical treatment and quality of patients life.