A new approach to the treatment of female stress urinary incontinence associated with genital prolapse

Abstract

The study was aimed to evaluate the clinical effectiveness of various methods of surgical treatment of urogenital prolapse in women under University Clinics. There was shown urgical treatment of genital prolapse requires an integrated approach and a combination of individual choice in different ways to treat the disease, adequate types and severity of defects vaginal anatomy and dysfunction of the pelvic organs, taking into account the patient's age as well as the presence of gynecologic and extragenital pathology. Proposed combined method of treatment of patients with genital prolapse effectively restored topographic conditions of uretrovesical segment and proximal urethra as wells as single sphincter mechanisms. Application of autotransplantation of adipose tissue in combination with a platelet-rich plasma into the paraurethral tissue significantly improved functional outcome of surgical interventions.