Some aspects of diagnosis and prevention of pelvic floor insufficiency in women of reproductive age
https://doi.org/10.29039/1992-6499-2023-2-98-103
Abstract
The aim of the study: to assess the significance of the study of the state of the pelvic floor in women of reproductive age who have risk factors for the development of pelvic organ plolapse; to evaluate the effectiveness of an electric exercise machine in combination with Kegel exercises in the prevention of pelvic organ prolapse.
Matherial and methods: 363 women with a history of vaginal childbirth were examined, which, depending on parity and body mass index, were divided into 4 groups. Ultrasound measurement of the height of the tendon center of the perineum, the width of the muscle bundles of the levator legs (m. bulbospongiosus, m. bulbocavernosus), the angle of urethral incline (alpha angle), vesico-urethral angle (betta angle), the length of the urethra was performed.
The results of the study: obtained indicate the expediency of performing ultrasound scans with study of the muscles that form the pelvic floor in women who gave birth with perineal trauma, for early detection of pelvic floor insolvency. The effectiveness of using electric exercise machines in combination with a set of physical exercises to strengthen the pelvic floor muscles in women with preclinical manifestations of pelvic floor muscle failure has been proven.
About the Authors
M. S. Selikhova
Volgograd State Medical University
Russian Federation
Russian Federation
M.S. Selikhova, Dr. Sci. (Med.), Professor of the Department
Volgograd
A. N. Rymashevskiy
Rostov State Medical University
Russian Federation
Russian Federation
A.N. Rymashevskiy, Dr. Sci. (Med.), Professor, Head of the Department
Volgograd
E. I. Karnushin
Medical Center “Slavia”
Russian Federation
Russian Federation
E.I. Karnushin, Cand. Sci. (Med.), Chief physician
Rostov-on-Don
T. E. Karnushin
Medical Center “Slavia”
Russian Federation
Russian Federation
T.E. Karnushin, obstetrician-gynecologist, Deputy General Director, Chief Physician
Rostov-on-Don
A. G. Ershov
Volgograd State Medical University
Russian Federation
Russian Federation
A.G. Ershov, postgraduate student
Volgograd
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Review
For citations:
Selikhova M.S., Rymashevskiy A.N., Karnushin E.I., Karnushin T.E., Ershov A.G. Some aspects of diagnosis and prevention of pelvic floor insufficiency in women of reproductive age. Astrakhan medical journal. 2023;18(2):98–103. (In Russ.) https://doi.org/10.29039/1992-6499-2023-2-98-103
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