New aspects in the surgical correction of pelvic organ prolapse

Relevance . The relevance of the problem pelvic prolapse is due to prevalence disease, tendency rejuvenation and progression. This, according survey, affects quality life women, leads disruption sexual functioning, reduces ability work. methods surgical treatment that exist in arsenal modern operative gynecology can contribute development cicatricial adhesions, infectious complications recurrence prolapse, which creates need for repeated interventions. introduction into practice new a natural necessity. most effective technique genital laparoscopic sacrocolpopexy using titanium silk implants. Materials Methods. A prospective cohort study 30 patients aged 37 74 years with clinical manifestations grade II-IV statistical data analysis results survey postoperative period dynamics over 3-6-12 months from 2019 2021 was carried out. used three-stage method assistance (patent dated September 15, 2020 No. 2020130382/14 (054923) volume - promontofixation, MacCoul sacro-uterine ligament plasty, colporrhaphy, colpoperineorrhaphy, levatoroplasty. Results Discussion. It has been established pregnancy childbirth are among main factors provoking floor muscle failure. duration follow-up our 3-14 months. No were diagnosed during this period. In 12 (40.0 %) first month there periodic pulling pains lower abdomen perineum, 2 (6.6 urinary incontinence. Titanium affinity surrounding tissues compared polypropylene scaffold systems, makes it possible consider as an alternative material synthetic analogues reduce risk mesh-associated complications. resistance endoprosthesis antiseptics microbial agents predisposes its long-term use absence replacement. Conclusion. obtained make judge high efficiency developed defects rectocele cystocele, minimizing disease developing complications, allows choosing personalized management strategy patients.