• Home
  • NEW DAY MEDICINE
  • 9 (95) 2026
  • 70 -9 (95) 2026 - Negmadjanov B.B., Zoirova N.A., Shavkatov X.Sh. - CLINICAL AND ANATOMICAL CRITERIA INFLUENCING THE CHOICE OF SURGICAL TACTICS IN THE COMBINED COURSE OF GENITAL PROLAPSE AND BENIGN TUMORS OF THE UTERUS AND ITS ADNEXA

70 -9 (95) 2026 - Negmadjanov B.B., Zoirova N.A., Shavkatov X.Sh. - CLINICAL AND ANATOMICAL CRITERIA INFLUENCING THE CHOICE OF SURGICAL TACTICS IN THE COMBINED COURSE OF GENITAL PROLAPSE AND BENIGN TUMORS OF THE UTERUS AND ITS ADNEXA

CLINICAL AND ANATOMICAL CRITERIA INFLUENCING THE CHOICE OF SURGICAL TACTICS IN THE COMBINED COURSE OF GENITAL PROLAPSE AND BENIGN TUMORS OF THE UTERUS AND ITS ADNEXA

Negmadjanov B.B., Zoirova N.A., Shavkatov X.Sh. - Samarkand State Medical University

Resume

The article analyzes the clinical and anatomical criteria influencing the choice of surgical tactics in patients with a combined course of genital prolapse and benign tumors of the uterus and its adnexa. The study included 85 patients treated for genital prolapse. The main group consisted of 60 patients with prolapse combined with benign tumors of the uterus and/or adnexa, while the comparison group included 25 patients with prolapse without identified tumor pathology. Within the main group, according to the scope of surgical intervention, group Ia (n=35) included patients who underwent organ-preserving surgery, and group Ib (n=25) included patients who underwent radical surgical interventions. The degree of prolapse was assessed using the POP-Q system. Clinical symptoms, tumor localization, reproductive plans, menopausal status, and functional disorders were analyzed comparatively. The results showed that organ-preserving tactics were more often used in patients with preserved reproductive plans (74.3% versus 44.0%; p=0.030), whereas radical tactics were more often associated with peri-/postmenopausal status (60.0% versus 31.4%; p=0.036) and signs of compression (52.0% versus 22.9%; p=0.028). Large fibroids, multiple myomatous nodules, adnexal cysts, and recurrent bleeding were clinically important; however, when assessed separately, they did not serve as absolute grounds for radical intervention. It is substantiated that, in combined pathology, the surgical decision should be based not only on the anatomical defect but also on a comprehensive assessment of reproductive, clinical, anatomical, and functional factors.

Keywords: genital prolapse, uterine fibroid, adnexal cyst, organ-preserving surgery, radical surgery, POP-Q, surgical tactics, clinical and anatomical criteria.

First page

464

Last page

471

For citation:Negmadjanov B.B., Zoirova N.A., Shavkatov X.Sh. - CLINICAL AND ANATOMICAL CRITERIA INFLUENCING THE CHOICE OF SURGICAL TACTICS IN THE COMBINED COURSE OF GENITAL PROLAPSE AND BENIGN TUMORS OF THE UTERUS AND ITS ADNEXA//New Day in Medicine 9(95)2026 464-471 https://newdayworldmedicine.com/en/new_day_medicine/9-95-2026

LIST OF REFERENCES

  1. Адамян ЛВ, Логутова ЛС. Органосохраняющие операции при сочетанной гинекологической патологии. Акушерство и гинекология. 2023;(2):34-41.
  2. Беженарь ВФ, Попов АА. Хирургическое лечение пролапса гениталий с сохранением матки. Журнал акушерства и женских болезней. 2023;72(5):58-66.
  3. Сидорова ИС, Унанян АЛ. Миома матки в сочетании с пролапсом: выбор объема хирургического вмешательства. Акушерство и гинекология. 2024;(1):19-26.
  4. Кузнецова ИВ. Сочетанная патология тазового дна у женщин пожилого возраста. Клиническая медицина. 2024;102(7):72-78.
  5. Тимошкова ЮЛ, Шмидт АА, Курманбаев ТЕ и др. Анамнестические факторы риска развития пролапса гениталий у женщин. Вятский медицинский вестник. 2021;1(69):59-63.
  6. Быченко ВВ. Пролапс тазовых органов у женщин — скрытая угроза (обзор литературы). Вестник Сыктывкарского университета. Серия 2: Биология. Геология. Химия. Экология. 2021;2(18):73-80.
  7. Васин РВ, Филимонов ВБ, Васина ИВ. Пролапс гениталий: современные аспекты хирургического лечения (обзор литературы). Экспериментальная и клиническая урология. 2017;(1):104-115.
  8. Мусин ИИ, Нафтулович РА, Абсалямова ДФ и др. Выбор метода реконструктивной операции при пролапсе гениталий с учетом дополнительных факторов риска. Практическая медицина. 2020;18(2):46-50.
  9. Густоварова ТА, Киракосян ЛС, Фрамузова ЕЕ. Послеоперационные результаты хирургического лечения пролапса гениталий. Кубанский научный медицинский вестник. 2021;28(1):43-52.
  10. Гаврилова ТВ. Трансвагинальная хирургическая профилактика постгистерэктомического пролапса купола влагалища у пациенток с полным пролапсом матки: автореф. дис. ... канд. мед. наук: 14.01.01. Москва; 2021. 24 с.

    file

    download