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PREVALENCE RATE OF GENITAL PROLAPSE IN WOMEN OF
REPRODUCTIVE AGE
Negmadjanov B.B.
Zoirova N.A.
Samarkand State Medical Institute, Samarkand, Uzbekistan
https://doi.org/10.5281/zenodo.10997316
Relevance.
Current literature and studies show that the prevalence of
genital prolapse is 10.1% in women under 30 years of age, 40.2% in women
aged 30 to 45 years, and up to 50% in women over 50 years of age. remains one
of the pressing problems.
The purpose of the study:
To study the incidence rates of genital
prolapse in women of reproductive age.
Research method and material:
We examined 67 patients under our
observation. Their age is 29-40 years. All clinical laboratory examination
methods were passed to the patients, their anamnesis, degree of prolapse of the
genitals, ultrasound examination, clinic of the disease, colposcopy,
bacteriological and bacterioscopic examination of smear smear were thoroughly
studied and analyzed.
The results obtained:
It is too early for genital prolapse in women of
reproductive age
stages, severe levels of the disease are also sufficiently
common, and this has a serious impact on the health of women of reproductive
age, as well as on their psycho-emotional condition. The severity of pelvic organ
prolapse in patients under our observation was studied according to POP-Q
(Pelvic Organ Prolapse Quantification), which is widely used today. The results
of the analysis show that 24 (36%) of our 67 patients presented with I-level
disease, 18 (27%) with II-level disease, and 15:10 (22%- is 15%).
The clinic of the patients under our observation was also analyzed in terms of
occurrence and severity of genital prolapse. Clinical examination includes
complaints of patients in examination, general and gynecological cure, and their
anamnesis. An important role in the examination methods is the collection of
anamnesis. A detailed anamnesis collection, study of the causes of the disease
played an important role. In the study of the patient, not only the complaints and
characteristics of the disease, but also the quality of life, as well as social
adaptability, living conditions and working conditions were studied. As a result
of our investigations, according to the classification of POP-Q, prolapse of the
pelvic organs in women and its complications are mainly III-IV, urinary
incontinence in 4 patients, gas incontinence in 2 patients, but in almost all
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severe degrees, anorgasmia, genialalgia, pain in the lower abdomen and feeling
of iodine div. such complaints are identified. At the I-II level of the disease, in
women, genitalia, nocturnalness during intercourse, cystocele and rectocele are
observed. Considering the nature of childbirth, it can be said with confidence
that in 60.2% of cases, obstetric care was required or complications arose
during childbirth, which later became one of the reasons for internal genital
prolapse and prolapse. In the patients under investigation, mainly in the patients
with prolapse of the genitals, deep tears of the diaphragm, deep tears of the
vaginal wall of the episiotomy were observed in the anamnesis.
It should be noted that in patients with genital prolapse of the I and II degree,
few complications of pregnancy were observed during childbirth. Such
complications, such as episiotomy and mi or perinetomy, as well as the use of
fertility surgical procedures such as uterine rupture, can lead to serious
consequences and significantly lead to severe forms of genital prolapse.
Conclusions:
The analysis of modern literature shows that. Genital prolapse is
considered an urgent problem of gynecology today. It should be noted that the
incidence of genital prolapse is increasing in women of reproductive age, and it
can be seen that this disease has a serious impact on the lifestyle of women of
reproductive age. Apart from that, the incidence of pelvic organ prolapse
depends on women's lifestyle, childbirth anamnesis, it is clearly shown in many
literatures, and also as a result of our personal investigations
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