Abstract:
Genital prolapse is a common disease in women with a
multifactorial etiology. Pelvic floor dysfunction is likely
contributed by the combinations of anatomical,
physiological, genetic, lifestyle, and reproductive factors
that interact throughout a woman's life.
To assess the predictive value of the trigger factors for
the development of genital prolapse about the formation
of a high degree and severe course of genital prolapse in
women.
We studied 102 patients with violations of the
architectonics of the pelvic organs. The exclusion criteria
were pregnant and nulliparous women under 30 years of
age. All patients underwent an assessment of the degree
of genital prolapse using the international classifications
POP-Q (Pelvic Organ Prolapse Quantification). The
severity of manifestations of genital prolapse was
assessed using the PFDI-20 questionnaire.
The mean age of the study sample was 47.5 ± 13.6 years.
According to logistic regression analysis, independent
predictors of risk for the formation of a high degree and
severe clinical course of genital prolapse in women are
an increased body mass index, constipation, chronic lung
disease, pelvic inflammatory disease, frequent labor, and
delivery of large fetuses. Thus, timely identification and
elimination of the most significant trigger risk factors for
the development of genital prolapse in women will serve
to predict and prevent a high degree and severe clinical
and functional course of pelvic organ prolapse.
