PROLAPSE AS DEMONSTRATION OF INSSUFFICIENCY OF PELVIC FLOOR: MODERN VIEW ON THE PROBLEM AND POSSIBILITIES OF CONSERVATIVE CORRECTION
The review is devoted to an actual problem of modern gynecology - genital prolapse as the manifestation of the insufficiency of pelvic floor. The data on the prevalence of the disease among women of different ages are given. The analysis of the main risk factors that contribute to the development and progression of pelvic organ prolapse is carried out. Significant clinical and instrumental methods of diagnosis of the pathology of the pelvic floor allowing to identify the problem in the early stages were highlighted. Particular attention is paid to the conservative ways of correction of genital prolapse. Primary care of such patients includes behavioral therapy. It is noted that regular pelvic floor training together with biofeedback (using vaginal cones) allows to achieve significant clinical Results. The data of urogynecology Committee regarding the use of pessaries, which are associated with high level of satisfaction of genital prolapse patients, facilitating their social adaptation are given.