UROGENITAL SYMPTOMS AND VAGINAL MICROBIOTA DISORDERS AS THE INITIAL SYMPTOMS OF PELVIC FLOOR FAILURE IN WOMEN OF EARLY REPRODUCTIVE AGE
DOI:
https://doi.org/10.11603/24116-4944.2024.2.15081Keywords:
women with high parity of births, pelvic floor failure, urogenital disorders, dyspareunia, fecal incontinence, vaginal microbiotaAbstract
The aim of the study – to assess the frequency and characteristics of urodynamic and dysbiotic disorders in pelvic dysfunction in women of early reproductive age with a high parity of births.
Materials and Methods.The study included 80 patients aged 18-35 years with high parity of births (more than three births) (main group) and initial forms of genital prolapse and 40 patients without pelvic floor prolapse (comparison group). The severity of urinary incontinence was assessed according to the classification of the International Incontinence Society (ICS).
Results and Discussion. The leading factors were high parity of births, heredity, fetal macrosomia, instrumental delivery and birth canal trauma, as well as a high proportion of markers of undifferentiated connective tissue dysplasia. In 92.5 % of cases, stage I vaginal prolapse and stress urinary incontinence were detected. The most common symptoms are palpable protrusion (93.75%) or a feeling of a ‘foreign body’ in the vagina (83.75%), as well as increased secretory function due to vaginal gaping (93.75%). Another important symptom wss sexual dysfunction (33.75%). Incontinence was not limited to urine, as 28.75% of women with high parity of births demonstrated symptoms of fecal incontinence. Normobiocenosis was not established in any patient of both groups.
Conclusions. Pelvic floor failure in women with high parity of births is a clinical condition that significantly affects the quality of life and increases the proportion of urogenital disorders, among which urinary incontinence, dyspareunia, fecal incontinence and vaginal microbiota disorders dominate.
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