Clinical and anamnestic characteristics of patients of reproductive age with pelvic floor syndrome descents

Pelvic organ prolapse (POP) is a pressing medical and social problem that significantly affects the quality of life of women of reproductive age. According to epidemiological studies, the incidence of this pathology in women under 40 years reaches 15-20%, while there is a tendency for POP to become younger. However, other pelvic floor disorders, such as urinary incontinence and sexual dysfunction, are often ignored. All these pathologies are combined into pelvic descent syndrome (PDS). Research into risk factors for PDS development and identification of target groups is necessary for early diagnosis and successful treatment. The aim of the study . To evaluate clinical and anamnestic risk factors for the development of pelvic floor syndrome degradation in women of reproductive age. Study design . A prospective study was conducted. a cohort study that included 88 women of reproductive age (18-49 years). The patients were divided into 2 groups: Group I — women with pelvic descent syndrome (n=58), Group II — control (n=30). Within the framework of this study, an assessment of anthropometric parameters, obstetric and gynecological history and concomitant somatic diseases was carried out. To assess sexual function, was used validated self-administered questionnaire “Female Sexual Function Index” (The Female Sexual Function Index, FSFI). The function of the urinary tract was studied using uroflowmetry. The study was conducted on the TRITON urodynamic system (Laborie Medical Technologies, Canada). Research results . Significant clinical and anamnestic predictors of pelvic descent syndrome are the number of pregnancies more than three, the number of births more than two, the presence of perineal injuries during childbirth, childbirth with a large fetus, obesity. Patients with pelvic descent syndrome have pronounced sexual dysfunction, but do not actively complain about the quality of sexual life.