ANALYSIS OF MORPHOLOGICAL CHANGES OF THE BLADDER IN WOMEN OF EARLY AND LATE MENOPAUSAL PERIODS DEPENDING ON HORMONES

Authors

  • B. Yu. Bidovanets Municipal Non-Profit Institution of Ternopil Regional Council “Ternopil Regional Clinical Oncology Centre”
  • Ya. Ya. Bodnar I. Horbachevsky Ternopil National Medical University
  • T. K. Golovata I. Horbachevsky Ternopil National Medical University
  • A. M. Pryshliak I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2020.v.i2.11312

Keywords:

the morphology of the urinary bladder mucosa, early and late menopausal periods, progesterone, estradiol

Abstract

Currently the dysuria in perimenopausal women is one of the most challenging issues in world health care. The close anatomical and functional relations of the female urinary system with reproductive organs and their neuroendocrine system cause the necessity of use of complex investigation methods of different pathologies including aging caused ones.

The aim – to study the morphological changes of the urinary bladder in women in early and late menopausal periods and their dependencies of the progesterone and estradiol levels.

Material and Methods. We studied the biopsy specimens of the urinary bladder mucosa taken from the trigon and lateral wall in 62 women. 20 patients were in early menopausal period, 28 were in late. 14 women 35–45 years old were in the control group. We use histological and the biochemical study methods.

Results. We proved that in case of dysuria in perimenopausal women there are the distinct dystrophic and degenerative alterations in the urinary bladder mucosa. They are accompanied by inflammatory reactions in lamina propria and compensatory hyperplastic processes. The hormones’ levels decreased progressively in both patients’ groups in comparison to the control group.

Conclusion. The decrease of hormones’ levels in women in early and late menopausal periods is directly corelated with the severity of morphology signs.

References

Political Declaration and Madrid International Plan of Action on Aging (Second World Assembly on Aging, Madrid, Spain, 8-12 of April, 2002). Retrieved from: https://www.un.org/en/events/pastevents/pdfs/Madrid_plan.pdf.

Ovsyannikova, T.V., Makarov, I.O., Borovkova, E.I., & Kulikov, I.A. (2010). Mestnaya terapiya urogenitalnykh narusheniy v peri- i postmenopauze [The local therapy of urogenital disorders in peri- and postmenopause]. Akusherstvo, ginekologiya i reproduktsiya – Obstetrics, Gynecology and Reproduction, 4 (3), 25-28 [in Russian].

Kulakov, V.I., Savelieva, G.M., & Manukhin, I.B. (2009). Ginekologiya: natsionalnoe rukovodstvo [Gynecology: National guideline]. Moscow: GEOTAR-Media [in Russian].

Apolikhina, I.A., Makhmedzhanova, F.N., Balan, V.E., & Kuriuchkina, I.A. (2012). Rezultaty epidemiologicheskogo issledovaniya rasprostraneniya narusheniy mocheispuskaniya u zhenshchin [The results of the epidemiology study of urination disorders in women]. Ginekologiya – Gynecology, 14 (2), 4-6 [in Russian].

Tikhomirov, A.L., & Oleinik, Ch.G. (2003). Urogenitalnye rasstroystva v postmenopauze i zamestitelnaya gormonoterapiya [The urogenital disorders in postmenopause and the substitute hormone therapy]. Lechashchiy vrach – Treating Physician, 7 (3). Retrieved from: http://www.lvrach.ru/2003/07/4530495 [in Russian].

Samsioe, B. (1998, May 01). Urogenital aging – a hidden problem. Am. J. Obstet. Gynecol, 178 (5), S245-249. DOI:10.1016/S0002-9378(98)70555-1. DOI: https://doi.org/10.1016/S0002-9378(98)70555-1

Utian, W.H. (1980). Menopause in modern perspective. A guide to clinical practice. New York: Appleton-Century-Crofts.

Serov, V.N., Prilepskaia, V.N., & Ovsiannikova, T.V. (2004). Ginekologicheskaya endokrinologiya [Gynecological endocrinology]. Moscow: Medpress-inform [in Russian].

Kulakov, V.I., Serov, V.N., & Gasparov, A.S. (2005). Ginekologiya: uchebnik dlya studentov medytsynskikh vuzov [Gynecology: the textbook for medical students]. Moscow: LLC “Meditsynskoe informatsyonnoe agenstvo” [in Russian].

Progesteron-ELISA: the manual on reagents using for enzyme immunoassay detection of progesterone blood serum (plasma). Comp. by D.S. Kostrikin [the clinical service head of LLC “XEMA”]. Tech.Req. No. 9398-036-18619450-2007. – Reg.cert. FSR 2009/04162 of 20.02.2009. – Document: K2071. – Instruction ver. 202. – Format ver. 011 [in Russian].

Estradiol ELISA: user`s manual. DRG instruments GmbH, Germany. EIA-2693. Ver. 11.0. 09/2010.

Published

2020-08-17

How to Cite

Bidovanets, B. Y., Bodnar, Y. Y., Golovata, T. K., & Pryshliak, A. M. (2020). ANALYSIS OF MORPHOLOGICAL CHANGES OF THE BLADDER IN WOMEN OF EARLY AND LATE MENOPAUSAL PERIODS DEPENDING ON HORMONES. Achievements of Clinical and Experimental Medicine, (2), 65–69. https://doi.org/10.11603/1811-2471.2020.v.i2.11312

Issue

Section

Оригінальні дослідження