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Plekhanov A.N.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
Pavlov St. Petersburg State Medical University;
Inozemtsev Academy of Medical Education

Bezhenar’ V.F.

Pavlov First St. Petersburg State Medical University

Bezhenar F.V.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
St. Petersburg State Pediatric Medical University

Epifanova T.A.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
Inozemtsev Academy of Medical Education

Vysotsky M.M.

Russian University of Medicine

Possibilities surgical treatment of atypical forms of pelvic organ prolapse

Authors:

Plekhanov A.N., Bezhenar’ V.F., Bezhenar F.V., Epifanova T.A., Vysotsky M.M.

More about the authors

Journal: Endoscopic Surgery. 2025;31(2): 35‑42

DOI: 10.17116/endoskop20253102135

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Table of contents

POSSIBILITIES SURGICAL TREATMENT OF ATYPICAL FORMS OF PELVIC ORGAN PROLAPSE
POSSIBILITIES SURGICAL TREATMENT OF ATYPICAL FORMS OF PELVIC ORGAN PROLAPSE

To cite this article:

Plekhanov AN, Bezhenar’ VF, Bezhenar FV, Epifanova TA, Vysotsky MM. Possibilities surgical treatment of atypical forms of pelvic organ prolapse. Endoscopic Surgery. 2025;31(2):35‑42. (In Russ.)
https://doi.org/10.17116/endoskop20253102135

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve the results of surgical treatment in patients with rare, complicated and recurrent forms of pelvic organ prolapse.

MATERIAL AND METHODS

The study included 140 patients diagnosed with pelvic organ prolapse (POP). The main group consisted of 70 patients with rare, severe and complicated cases of POP, who underwent surgical treatment using our modified colpocleisis operation. The control group consisted of 70 patients with newly diagnosed, uncomplicated cases of POP, who underwent surgical treatment using a mesh implant.

RESULTS

The use of the modified colpocleisis technique will increase the effectiveness of surgical correction of rare, complicated and recurrent forms of POP. Operations with synthetic implants should be used only when correction with one’s own tissues is impossible due to the high risk of intra- and postoperative complications.

CONCLUSION

The use of a modified colpocleisis operation in atypical forms of POP is a highly effective method of correcting prolapse, which, in combination with a simple technique, allows it to be offered as a basic method for vaginal access in patients who do not wish to have sexual intercourse.

Keywords:

pelvic organ prolapse
colpocleisis
vaginal hysterectomy
complications
mesh implant

Authors:

Plekhanov A.N.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
Pavlov St. Petersburg State Medical University;
Inozemtsev Academy of Medical Education

Bezhenar’ V.F.

Pavlov First St. Petersburg State Medical University

Bezhenar F.V.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
St. Petersburg State Pediatric Medical University

Epifanova T.A.

St. Petersburg Clinical Hospital of the Russian Academy of Sciences;
Inozemtsev Academy of Medical Education

Vysotsky M.M.

Russian University of Medicine

Received:

29.10.2024

Accepted:

12.11.2024

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