[The role of ethiopathologic approach in pelvic prolapse surgery].

Prior to examining and describing pelvic organ support defects in females, all clinicians should use optimal pelvic prolapse classification. We proposed our original classification which includes both the prolapse grade and etiopathological causes. In our classification crucial point of descent is isthmus of uterus. Such conception will aid in providing a comprehensive and correct surgical treatment to reduce prolapse recurrence. According to ethiopathologic principles in pelvic prolapse surgery, in our study success was obtained in 97.3%.

[Assessment of long follow-up results after surgical treatment of stress urinary incontinence using tvt and pubovaginal short skin flap sling].

The aims of present study were to evaluate the quality of women's life (QoL) after surgical treatment of stress urinary incontinence (SUI) and to compare long follow-up results of two different procedures. Quality of life questionnaire represents a useful and cheap tool in the investigation of outcomes of the surgical treatment of stress incontinence. By providing an objective measure of the impact of results on women's lives, quality of life questionnaires allow more comprehensive understanding of disease severity and its effect on psychosocial function. In addition, they have an increasingly important role in clinical research, allow comparing two and more different methods of treatment. QoL of patients after TVT was significantly higher, then after pubovaginal sling using short skin flap (subjective cure 80% versus 66% after 48 months follow up). These benefits in QoL, coupled with the minimally invasive nature of the procedure, suggest that TVT could become a favored treatment option in women with SUI.

[Reconstructive plastic operations in ptosis and prolapse of the genitalia. The choice of the technic and the prevention of complications]. / Rekonstruktivnye plasticheskie operatsii pri opushcheniiakh i vypadeniiakh polovykh organov. Vybor tekhniki i profilaktika oslozhnenii.

The principal causes of recurring prolapses are inadequate choice of surgical technique and unqualified performance of the operation proper, as well as the absence of expert evaluation of the performance capacity of this patient population. The authors suggest pathogenetically, anatomically, and functionally validated methods of reconstructive surgery permitting restoration of the position and function of the genitals and the adjacent organs and helping preserve the generative function of fertile women. Approaches to prevention of recurrences are outlined.

[Modification of the Aldrich operation--a method of choice in the surgical treatment of patients with stress-induced urinary incontinence]. / Modifikatsiia operatsii Oldridzha--metod vybora pri khirurgicheskom lechenii bol'nykh s nederzhaniem mochi pri napriazhenii.

The paper presents a rationale for and advantages of a modified Aldrich procedure in surgical treatment of patients with stress incontinence. This technique was supplemented by colpoperineoplasty in 24 patients. Long-term efficacy was assessed at 3 months to 4 years. No recurrence or complications were seen. Determinants of surgical success in these women were an appropriate patient selection with regard to urodynamic findings, meticulous performance at intraoperative stages and good rehabilitative care.

[Current aspects of surgical treatment of prolapse of internal female genital organs]. / Sovremennye aspekty khirurgicheskogo lecheniia opushcheniia i vypadeniia vnutrennikh polovykh organov zhenshchiny.

A study in 128 women with variable degrees of prolapse of the internal genitalia has identified significant functional abnormalities of both the genital and pelvic organs. Combined biphasic surgical treatment was performed simultaneously or at an interval of 3-6 months. The operation consisted in fixation of the uterus (its stump or the vaginal dome) using an aponeurotic flap and colpoperineolevatoroplasty. Long-term results were evaluated at 0.5 to 7 years. Complete anatomic and functional rehabilitation was achieved in 95.4% and a significant improvement in 3.8% of the patients.