ALGORITHM OF SURGICAL TACTICS IN PATIENTS WITH PELVIC ORGANS PROLAPSED AND URINARY STRESS INCONTINENCE
The objective of this study was to assess effectiveness and safety of the patent methods of transvaginal reconstruction of pelvic floor eliminating pelvic organs prolapse as well as urinary stress incontinence. Mesh endoprostheses of original form and methods of implantation were used. Material and methods. 160 patients were performed combined operations. In 89 (55,6%) patients anterior sleeves of mesh implant were transobturationally placed under the middle third of urethra during transvaginal pelvic floor reconstruction. In 71 (44,4%) patients of the second group antistress stage of surgery involved placing of free (anterior) edge of T-shaped original mesh implant under bladder cervix and proximal urethra. Then it was fixed to pubourethral ligaments. Conclusion. On the basis of studying the preoperative results of examination aimed at revealing symptomatic and latent stress incontinence as well as effectiveness of combined surgery algorithm of surgical treatment of pelvic organs prolapse and urinary stress incontinence was worked out.