FIELD: medicine.
SUBSTANCE: pelvic floor mobility is females involves constructing a rest and tension three-dimensional model in dynamics. The examination involves placing the patient semi-vertically in a gynaecological examination chair; scanning sessions are performed by optical photometry for no more than 10 seconds each; a quantitative indicator of the pelvic floor mobility is determined as a prolapse size gain as a relation of a Valsalva test and rest prolapse size difference to the rest prolapse size, in percentage. If observing the prolapsed pelvis beyond a hymenal risk, a manual reposition of the pelvic floor followed by an additional scanning session is performed, and a total pelvic prolapse is calculated as the Vlsalva test prolapse size, and the post-reposition prolapse size.
EFFECT: objective detection of the pathological pelvic mobility at the early stage of the disease prior to clinical manifestations, diagnosis of a degree and type of pelvic floor descent in the patients with pelvic floor prolapse for the following planning of the surgical correction extent, including selecting the method taking into account individual reserves of the pelvic floor mobility in order to avoid its hypercorrection and developing functional complications.
2 cl, 13 dwg, 3 ex
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Authors
Dates
2015-02-10—Published
2013-11-21—Filed