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Vol. 27, Art. 8 (pp. 159-229)    |    2026       

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Methods of treatment of pelvic organ prolapse in elderly and senile women.Prevention of complications.

Novikov E.I., Nokhrin S.P., Surminov E.I.Isaenko A.A., Bazhanova N.S., Minnullin R.I., Vasilevskaya Yu.M.

Saint-Petersburg Research Institute of Emergency Medicine named after I.I.Dzhanelidze, St. Petersburg, Russian Federation, 192242, Saint Petersburg

Brief summary

This review analyzes conservative and surgical methods of treating pelvic organ prolapse in elderly women. An analysis of the literature has shown that the conservative methods of treatment of pelvic organ prolapse presented in the article are used mainly in elderly women with extragenital pathology. And it was noted that it is better to use in the early stages of the disease (grade 2-3). However, it is worth noting an important aspect: conservative methods do not eliminate the main anatomical cause of the disease - the weakness of the supporting tissues and ligaments of the pelvic floor. Therefore, surgical methods for the treatment of genital prolapse are, in our opinion, optimal for stage III-IV of the disease. These patients prefer small operations, short-term anesthesia, special postoperative management and rehabilitation, described in this article. Thus, the choice between conservative and surgical treatment should be based on the stage of the disease, the age of the patient, the presence of concomitant diseases and the degree of the patient's commitment to long-term treatment. The surgical approach is preferred in the elderly, as it eliminates the underlying anatomical problem and provides a more reliable and long-term result.


Key words

cystocele; rectocele; colpocleiasis; median colporraphy; pessary; bandage; local hormone therapy

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