Email this article Modern therapies for pelvic floor dysfunction in women due to surgical menopause
- Authors: Pestrikova T.Y.1, Kotelnikova A.V.1,2,3, Veselkova E.G.1,3, Yurasova E.A.1, Yurasov I.V.1,2, Strelnikova N.V.1
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Affiliations:
- Far Eastern State Medical University
- Voyno-Yasenetsky City Clinical Hospital
- Multifunctional Medical Center “Dear Madeleine”
- Issue: Vol 27, No 1 (2025)
- Pages: 49-53
- Section: ORIGINAL ARTICLE
- URL: https://ogarev-online.ru/2079-5831/article/view/290983
- DOI: https://doi.org/10.26442/20795696.2025.1.203144
- ID: 290983
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Abstract
Aim. To compare the effectiveness of the kGoal vaginal trainer combined with the intimate non-hormonal phytocomplex with hyaluronic acid, Estrogial, for the non-surgical treatment of the early stages of pelvic prolapse in women with surgical menopause.
Materials and methods. We examined 65 patients who came for an outpatient consultation 6–12 months after surgery (extirpation and/or amputation of the uterus with appendages). All study subjects were diagnosed with POP-Q grade 1 pelvic organ prolapse at the time of the first visit. In addition, some patients complained of urge urinary incontinence and various symptoms typical for the genitourinary menopausal syndrome. The mean age of study patients was 48.7±6.5 years (99% confidence interval 46.62–50.78); the mean age of surgical menopause was 50.1±2.8 years (99% confidence interval 49.21–50.99); the duration of surgical menopause was 6 months to 1 year. Symptoms in patients at outpatient Visit 1 included dysuria in 29 (44.62%), stress urinary incontinence in 23 (35.39%), sexual dysfunction in 26 (40.00%), sensations of vagina dryness in 45 (69.23%), splashing sounds in the vagina during sexual intercourse or sports in 18 (27.69%), loss of vagina sensitivity in 12 (18.46%). The treatment effectiveness was assessed in 3, 6, and 9 months.
Results. After 9 months of treatment, dysuria persisted in 2 (3.33%) patients. Stress urinary incontinence persisted in 5 (8.33%) patients and sexual dysfunction in 3 (5.00%) patients. Five (8.33%) patients still reported splashing sounds in the vagina during sexual intercourse or sports. The sensation of vagina dryness and loss of vagina sensitivity after treatment were not reported in any of the patients. The significance of the association of the surgical menopause sequelae with individual clinical signs of pelvic organ prolapse was relatively high and very high (p<0.05).
Conclusion. The study on kGoal vaginal trainer combined with the local non-hormonal phytocomplex with hyaluronic acid in patients with surgical menopause showed statistically significant, good, and satisfactory clinical efficacy, reducing the clinical manifestations of pelvic organ prolapse and the severity of the symptoms of surgical menopause-related genitourinary menopausal syndrome.
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##article.viewOnOriginalSite##About the authors
Tatiana Y. Pestrikova
Far Eastern State Medical University
Author for correspondence.
Email: typ50@rambler.ru
ORCID iD: 0000-0003-0219-3400
D. Sci. (Med.), Prof.
Russian Federation, KhabarovskAnastasia V. Kotelnikova
Far Eastern State Medical University; Voyno-Yasenetsky City Clinical Hospital; Multifunctional Medical Center “Dear Madeleine”
Email: typ50@rambler.ru
ORCID iD: 0000-0002-8143-5932
Cand. Sci. (Med.)
Russian Federation, Khabarovsk; Khabarovsk; KhabarovskElena G. Veselkova
Far Eastern State Medical University; Multifunctional Medical Center “Dear Madeleine”
Email: typ50@rambler.ru
ORCID iD: 0009-0007-4339-6665
Graduate Student
Russian Federation, Khabarovsk; KhabarovskElena A. Yurasova
Far Eastern State Medical University
Email: typ50@rambler.ru
ORCID iD: 0000-0002-7771-3549
D. Sci. (Med.)
Russian Federation, KhabarovskIgor V. Yurasov
Far Eastern State Medical University; Voyno-Yasenetsky City Clinical Hospital
Email: typ50@rambler.ru
ORCID iD: 0000-0001-6397-7052
D. Sci. (Med.)
Russian Federation, Khabarovsk; KhabarovskNatalia V. Strelnikova
Far Eastern State Medical University
Email: typ50@rambler.ru
ORCID iD: 0000-0002-1749-1323
Cand. Sci. (Med.)
Russian Federation, KhabarovskReferences
- Nam G, Lee SR, Kim SH, Chae HD. Importance of Translabial Ultrasound for the Diagnosis of Pelvic Organ Prolapse and Its Correlation with the POP-Q Examination: Analysis of 363 Cases. J Clin Med. 2021;10(18):4267. doi: 10.3390/jcm10184267
- Обоскалова Т.А., Ярмолинская М.И., Ющенко М.А. Сравнительная оценка эффективности упражнения Кегеля и механического вагинального тренажера в консервативном лечении тазового пролапса у женщин. Мать и дитя в Кузбассе. 2022;3(90):131-4 [Oboskalova TA, Yarmolinskaya MI, Yushchenko MA. Comparative assessment of the effectiveness of Kegel exercises and a mechanical vaginal trainer in conservative treatment of pelvic prolapse in women. Mother and Child in Kuzbass. 2022;3(90):131-4 (in Russian)]. doi: 10.24412/2686-7338-2022-3-131-134
- Мальцева Л.И., Гафарова Е.А. Альтернативная терапия симптомов генитоуринарного менопаузального синдрома у женщин. Вопросы практической кольпоскопии. Генитальные инфекции. 2023;1:24-30 [Maltseva LI, Gafarova E A. Alternative therapy of symptoms of genitourinary menopausal syndrome in women. Issues of practical colposcopy. Genital infections. 2023;1:24-30 (in Russian)]. doi: 10.46393/27826392_2023_1_24
- Тихомирова Е.В., Балан В.Е., Кручинина Е.В., и др. Возможности негормональной терапии при генитоуринарном менопаузальном синдроме. Эффективная фармакотерапия. 2022;18(34):6-13 [Tikhomirova EV, Balan VE, Kruchinina EV, et al. Possibilities of non-hormonal therapy for genitourinary menopausal syndrome. Effective Pharmacotherapy. 2022;18(34):6-13 (in Russian)]. doi: 10.33978/2307-3586-2022-18-34-6-12
- Аполихина И.А., Саидова А.С. Тренировка мышц тазового дна с помощью современного аппарата c биологической обратной связью для лечения стрессового недержании мочи у женщин. Медицинский оппонент. 2024;1(25):44-8 [Apolikhina IA, Saidova AS. Training of the pelvic floor muscles using a modern device with biofeedback for the treatment of stress urinary incontinence in women. Medical Opponent. 2024;1(25):44-8 (in Russian)].
- Рамазанова М.О. Современные проблемы и возможности в лечении генитоуринарного менопаузального синдрома на этапе развития медицинской науки и технологии. Акушерство и гинекология. 2024;5:24-31 [Ramazanova MO. Modern problems and possibilities in the treatment of genitourinary menopausal syndrome at the stage of development of medical science and technology. Obstetrics and Gynecology. 2024;5:24-31 (in Russian)]. doi: 10.18565/aig.2024.77
- Аполихина И.А., Лахикова Х.Л., Саидова А.С., и др. Современный консервативный подход в лечении пролапса тазовых органов с помощью гинекологических пессариев. Медицинский оппонент. 2023;2(22):24-30 [Apolikhina IA, Lakhikova HL, Saidova AS, et al. Modern conservative approach to the treatment of pelvic organ prolapse using gynecological pessaries. Medical Opponent. 2023;2(22):24-30 (in Russian)].
- Короткевич О.С., Эйзенах И.А., Мозес В.Г., Захаров И.С. Клиническая эффективность вагинального тренажера в лечении несостоятельности мышц тазового дна у женщин пожилого возраста. Фундаментальная и клиническая медицина. 2018;3(4):32-8 [Korotkevitch OS, Eizenakh IA, Mozes VG, Zakharov IS. Clinical efficiency of vaginal training device in treatment of pelvic organ prolapse in elderly women. Fundamental and Clinical Medicine. 2018;3(4):32-8 (in Russian)].
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