Pressing questions of combined pathology of genitalia for the women of postmenopausal period

Abstract

DOI: 10.52705/2788-6190-2024-02-06
УДК618.173-02:618.1-036-07-089

The objective: increase of efficiency of diagnostics and treatment of the combined pathology of
genitalia for the women of postmenopausal period on the basis of improvement and introduction
of algorithm of diagnostic and medical measures with the use of modern endoscopic methods.
Materials and methods. Analysis of inspection and treatment 1830 patients in age from 55 to 80
years. As a result of complex clinical-and-laboratory and additional methods of researches next
pathologies were selected for a separate study. Connected by pathology of endometrium – 853
from 1830 patients (46,6%); submucosal fibroids – 208 from 1830 patients (11,4%); combination
of intramural-subserous fibroids from adenomyosis – 368 from 1830 patients (20,1%); of high
quality new formations of ovaries – 133 from 1830 patients (7,3%); combination of pelvic organ
prolapse with the combined pathology of genitalia – 129 from 1830 patients (7,0%).
Results. In the structure of the combined of genital pathology for the women of postmenopausal
period prevail the combined pathology of endometrium (46,6%); combination of intramuralsubserous
fibroids is from adenomyosis (20,1%); submucosal fibroids (11,4%); of high quality
new formations of ovaries (7,3%) and combinations of pelvic organ prolapse are with different
of genital pathology (7,0%). Frequency of decompensated forms or malignant new formations of
extragenital localization is 7,6%. The age-old aspects of the combined of genital pathology for the
women of postmenopausal period are characterized by predominance of women of 55–64 (54,6%)
by comparison to 65–74 (35,0%) and over 75 years old (10,4%). For women in age 55–64 years
prevail the combined pathology of endometrium (41,2%) and combination of intramural-subserous
fibroids from adenomyosis (26,7%) in comparing to submucosal uterine fibroids (13,4%); by of
high quality new formations of ovaries (5,8%) and combination of pelvic organ prolapse with the
combined pathology (6,1%). In age from 65 to 74 years for women prevail the combined pathology
of endometrium (53,9%) and combination of intramural-subserous fibroids from adenomyosis – 83
from 641 sick (12,9%) in comparing to submucosal fibroids (9,7%); by of high quality new formations
of ovaries (8,1%) and combination of pelvic organ prolapse with the combined pathology (8,6%).
Conclusions. The results of the conducted researches testify to predominance of the combined
genital pathology for the women of postmenopausal period. The offered is improved treatmentand-
prophylactic and surgical measures, based on individual approach taking into account the
concrete variants of the combined pathology, allow to pro