Possibilities of quadripolar radiofrequency therapy as a method of rehabilitation after surgery for pelvic organ prolapse
- Authors: Dobrokhotova Y.E.1, Igor I.I.1, Il'ina I.I.1, Kareva E.N.1, Zalesskaya S.A.1, Nagieva T.S.1, Komagorov V.I.1, Grishin A.I.1, Shadrova P.A.1, Azimova A.I.1
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Affiliations:
- Pirogov Russian National Research Medical University
- Issue: Vol 23, No 6 (2021)
- Pages: 529-535
- Section: ORIGINAL ARTICLE
- URL: https://ogarev-online.ru/2079-5831/article/view/89895
- DOI: https://doi.org/10.26442/20795696.2021.6.201308
- ID: 89895
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Abstract
Background. This article is devoted to a topical topic in gynecology – genital prolapse and methods of preventing recurrence in the postoperative period. Despite the surgery in the field of correction of genital prolapse, up to 13% of patients require repeated surgical treatment of this pathology in the postoperative period.
Aim. At present, a unified algorithm for rehabilitation after operations to eliminate this pathology has not yet been developed. We proposed a technique for using quadripolar radiofrequency therapy in patients operated on for pelvic organ prolapse in the postoperative period in order to improve the rehabilitation period.
Materials and methods. To achieve our goals, histological material was collected from 60 patients with pelvic organ prolapse before and after surgical treatment to assess the strength of collagenogenesis and reparative processes in the connective tissue of the vagina based on changes in the expression of the RNA matrix of collagen types I and III, genes encoding vascular endothelial growth factor VEGF-A, transforming growth factor TGF-B1 and decorin by polymerase chain reaction. The FSFI-19 questionnaire was used to analyze the quality of the patients' sexual life. We also calculated the vagina health index of patients suffering from this disease.
Results. In the course of the study, it was revealed that when using this method, complete re-epithelization of tissues occurs by 90 days after the operation, metabolic and trophic processes in the tissues of the urogenital tract intensify, and an increased degree of patient satisfaction with the quality of sexual life.
Conclusion. All the results obtained confirmed the therapeutic effect of radiofrequency therapy in the postoperative period, which makes it possible to use the technique as a rehabilitation program after surgical treatment for genital prolapse.
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##article.viewOnOriginalSite##About the authors
Yulia E. Dobrokhotova
Pirogov Russian National Research Medical University
Author for correspondence.
Email: pr.dobrohotova@mail.ru
ORCID iD: 0000-0002-7830-2290
D. Sci. (Med.), Prof.
Russian Federation, MoscowIgor I. Igor
Pirogov Russian National Research Medical University
Email: igrishin.md@gmail.com
ORCID iD: 0000-0002-2689-2751
D. Sci. (Med.)
Russian Federation, MoscowIrina Iu. Il'ina
Pirogov Russian National Research Medical University
Email: iliyina@mail.ru
ORCID iD: 0000-0001-8155-8775
D. Sci. (Med.)
Russian Federation, MoscowElena N. Kareva
Pirogov Russian National Research Medical University
Email: elenakareva@mail.ru
ORCID iD: 0000-0002-9441-3468
D. Sci. (Med.)
Russian Federation, MoscowSofia A. Zalesskaya
Pirogov Russian National Research Medical University
Email: sofa.zalesskaya@mail.ru
ORCID iD: 0000-0003-2881-0788
Cand. Sci. (Med.)
Russian Federation, MoscowTamara S. Nagieva
Pirogov Russian National Research Medical University
Email: nagieva.ts@mail.ru
ORCID iD: 0000-0003-3342-9404
Cand. Sci. (Med.)
Russian Federation, MoscowVladimir I. Komagorov
Pirogov Russian National Research Medical University
Email: v.i.komagorov@gmail.com
ORCID iD: 0000-0003-4510-4244
Graduate Student
Russian Federation, MoscowAleksandr I. Grishin
Pirogov Russian National Research Medical University
Email: agrishin@mail.ru
obstetrician-gynecologist
Russian Federation, MoscowPolina A. Shadrova
Pirogov Russian National Research Medical University
Email: Shadrovapolina@hotmail.com
ORCID iD: 0000-0002-3721-1421
Graduate Student
Russian Federation, MoscowAmina Iu. Azimova
Pirogov Russian National Research Medical University
Email: aminayous@mail.ru
ORCID iD: 0000-0001-8528-9648
obstetrician-gynecologist
Russian Federation, MoscowReferences
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