21 -8 (58) 2023 — Masuda G.G., Feruza J.K. — PREDICTIVE VALUE OF CLINICAL AND ANAMNESTIC RISK FACTORS FOR THE DEVELOPMENT OF HIGH GRADES OF GENITAL PROPOSITION IN WOMEN

PREDICTIVE VALUE OF CLINICAL AND ANAMNESTIC RISK FACTORS FOR THE DEVELOPMENT OF HIGH GRADES OF GENITAL PROPOSITION IN WOMEN

Masuda G.G., Center for the development of professional qualifications of medical workers Uzbekistan Tashkent

Feruza J.K. Center for the development of professional qualifications of medical workers Uzbekistan Tashkent

Resume

The relevance of the search for key factors in the development and prediction of the prolapse of the pelvic organs has not diminished for many decades. In order to assess the predictive value of the trigger factors for the development of genital prolapse in relation to the formation of a high degree and severe course of genital prolapse in women, we studied 102 patients with violations of the architectonics of the pelvic organs, whose age was 47.5 ± 13.6 years. The POP-Q system was used to assess the degree of genital prolapse. The severity of manifestations of genital prolapse was assessed using the PFDI-20 questionnaire. According to logistic regression analysis, independent predictors of risk for the formation of a high degree and severe clinical course of genital prolapse in women are an increased body mass index, constipation, chronic lung disease, pelvic inflammatory disease, frequent labor and delivery of large fetuses. Thus, timely identification and elimination of the most significant trigger risk factors for the development of genital prolapse in women will serve to predict and prevent a high degree and severe clinical and functional course of pelvic organ prolapse.

Key words: genital prolapse, risk factors, POP-Q, PFDI-20.

First page

121

Last page

124

For citation: Masuda G.G., Feruza J.K. – PREDICTIVE VALUE OF CLINICAL AND ANAMNESTIC RISK FACTORS FOR THE DEVELOPMENT OF HIGH GRADES OF GENITAL PROPOSITION IN WOMEN //New Day in Medicine 2023 8(58): 121-124 https://newdaymedicine.com/index.php/2023/08/17/l-309/

LIST OF REFERENCES:

1. Dietz HP. The aetiology of prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(10):1323–1329. doi: 10.1007/s00192-008-0695-7.
2. Delancey JO, Kane Low L, Miller JM, Patel DA, Tumbarello JA (2008) Graphic integration of causal factors of pelvic floor disorders: an integrated life span model. //Am J Obstet Gynecol 199(6):610-615. doi:10.1016/j.ajog.2008.04.001.
3. Henn EW, Richter BW, Marokane MMP. Validation of the PFDI-20 and PFIQ-7 quality of life questionnaires. //Int Urogynecol J. 2017;28(12):1883–90.
4. Kim S.R., Suh D.H. Jeon M.J. Current use of the pelvic organ prolapse quantification system in clinical practice among Korean obstetrician-gynecologists. //BMC Women’s Health 2021;21:207 https://doi.org/10.1186/s12905-021-01354-w.
5. Schaffer JI, Wai CY, Boreham MK. Etiology of pelvic organ prolapse. Clin Obstet Gynecol. 2005;48(3):639–647. doi: 10.1097/01.grf.0000170428.45819.4e.
6. Gehi A, Musselman D, Otte C, et al. Depression and platelet activation in outpatients with stable coronary heart disease: findings from the heart and soul study. //Psychiatry Res. 2010;175(3):200-4. doi: 10.1016/j.psychres.2009.01.010