Estimation of factors of development of disfunction of pelvic floor

Abstract

DOI: 10.52705/2788-6190-2024-04.1-07
УДК 618.3+618.7-06:616.62-008.222

The objective: to conduct estimation of factors of development of disfunction of pelvic floor.
Materials and methods. Under our supervision there were 100 patients with pelvic organ prolaps of II-IV of the stage for classifications of POP-Q, which were up-diffused on 4 groups in accordance with complaints, presence or absence of dysfunction of contiguous organs for patients with pelvic organ prolaps. In a 1 group 25 patients are plugged with pelvic organ prolaps
without the dysfunction of contiguous organs. In 2 groups 25 patients are plugged with pelvic organ prolaps by the dysfunction of bladder. In 3 groups 25 patients are plugged with pelvic organ prolaps by the dysfunction of rectum. 4 groups were made by 25 patients with pelvic organ prolaps by the dysfunction of both bladder and rectum.
Clinical, instrumental, laboratory and statistical methods were plugged in the complex of the conducted researches.
Results. By the leading factors of risk for all types of urination for women with pelvic organ prolaps in postmenopause is: presence in anamnesis of births through natural birth caanal, RR = 1,88 (95% confidence interval (CI) 1,4–2,31; p=0,03; body mass index of more than 25 kg/m2, RR = 1,88 (95% CI 1,4–2,31; p=0,031); duration of postmenopause more than 6 years, RR =4,5 (95% CI 1,7–10,0; p=0,01); presence of vulvovaginl atrophy (RR = 1,32 (95% CI 1,02–1,5; p=0,01); appearance of periodic symptoms of disease to the offensive of menopause, RR = 1,05 (95% CI 1,02–1,32; p<0,05); extragenital diseases, especially broncopulmonary, RR 1,08 (95%
CI 1,03–1,34; p<0,02).
Conclusions. It is got by us results it is necessary to take into account at development of algorithm of diagnostic and treatment-and-prophylactic measures.