Efficiency of treatment and diagnostic algorithms in the rehabilitation program of women after hysterectomy with opportunist salpingectomy due to uterine myoma

Objectives: to determine the effectiveness of rehabilitation program in women reproductive age with uterine fibroids for correction genitourinary syndrome after hysterectomy opportunistic salpingectomy.Materials and methods. 160 were examined fallopian tubes. State urogenital tract dysfunction researched using POP-Q system, Barlow scale, vaginoscopy. Also it was used evaluation vaginal pH mucosal microbiota state, assessment health index according G. Bochmann, impact vulvovaginal symptoms on life’s quality MOS SF-36 questionnaire dynamics postoperative period. The treatment algorithm included local preparations hyaluronic acid, lactobacillus combination vitamin D solution, case a severe course – topical estrogens, vasomotor estradiol 50 μg/day 4000 IU daily or 20,000 once week.Results. Manifestations revealed 1 year surgery, namely: hypotrophy mucous membrane 36.3% women, urinary incontinence almost third patients, prolapse walls I–II degree 8.8% pathological microscopic picture 68.1% female. proposed algorithms made possible eliminate reduce severity 5 years hysterectomy, particular, frequency atrophy by 25%, normalize biocenosis contents, clinical manifestations urination disorders (pollakiuria nocturia 14% 12,8%, respectively), feeling incomplete emptying bladder 12.9%, stress 17.9%, 13.3% compared group standard management.Conclusions. Hysterectomy salpingectomy has positive effect patients improving physical comfort due reduction fibroids. However, changes life surgical intervention associated disturbances psycho-emotional sphere recorded 49.4% including those provoked manifestation 19.3%. reduces symptoms.