Vol. 6, Issue 1, Part B (2024)

Objective: To determine the factors contributing to the relapses of pelvic organ prolapse after surgical corrections based on the use of autogenous tissues.
Material and Methods: A retrospective multivariate analysis of the dependence of the frequency of relapses of pelvic organ prolapse on the risk factors for its occurrence. It included 286 patients aged between 2 and 4 years after surgical correction without the use of synthetic materials. The study was conducted on the basis of a detailed database obtained before surgical treatment and taking into account the age of women, their life history, the presence of concomitant somatic pathology, degree of genital prolapses, family and obstetric-gynecological history, manifestations of connective tissue dysplasia, and anthropometric data.
Results: It was found that risk factors for the relapses are the age of patients over 55 years, advance of prolapse, disease duration over 10 years, overweight and abdominal obesity, prolapse in first-degree relatives, more than four external or visceral markers of connective tissue dysplasia.
Conclusion: These factors should be taken into account when choosing methods of surgical correction of the disease. If any the preference should be given to the use of synthetic materials.