THE PROBLEM OF PELVIC ORGAN AND GENITAL DISTENTION GRADE I-II PROLAPSE IN WOMEN OF REPRODUCTIVE AGE AGE AND POSTMENOPAUSAL (LITERATURE REVIEW)

Introduction. Genital prolapse is a problem affecting not only the field of gynecology, but also urology, proctology, surgery. At the moment, there are many methods of surgical and conservative treatment, which are becoming more and more effective, minimally invasive operations have been widely introduced into practice . This significantly improves the quality of life of patients, but is associated with the development of a number of complications, the woman's unwillingness to perform surgery, and the inability to completely eliminate the cause of the pathological condition. Timely correction of prolapse in the early stages improves the quality of life of patients to a greater extent, is able to eliminate the cause of distention and prolapse in the early stages. Knowledge of the basics of pathogenesis will help to correctly prescribe treatment that not only eliminates the symptoms, but also the cause of the disease. The purpose of the work. To analyze the results of scientific works on the problem of distension and prolapse of pelvic organs of the I and II degrees. Material and methods. A qualitative analysis of 46 Russian-language and English-language sources, which reflect different aspects of the problem of distension and prolapse of I and II degrees, was carried out. Results. It has been established that due to the lack of a certain algorithm of actions, women are either not provided with assistance at the distance and at the early stage of prolapse, or they are not provided in full. Conclusions. Timely diagnosis, identification of risk factors for the development of distension and prolapse of pelvic organs helps to carry out not only therapeutic, but also preventive measures more efficiently, which preserves the health of a woman, prevents the development of depression. In addition, properly selected conservative treatment, training women to use pessaries independently (correctly introduce, conduct hygiene measures) and perform exercises, including with the help of special trainers to strengthen the pelvic floor muscles in the early stages of prolapse, reduce the percentage of operations that are accompanied by a number of complications.