Osteopathic correction in the complex treatment of women of reproductive age with pelvic organ prolapse

Abstract

Introduction. Pelvic organ prolapse is a major medical and social problem. Up to 53 % of women note certain manifestations of prolapse, almost half of them are women of working age. There are still many unresolved issues in the treatment of pelvic organ prolapse and prolapse. Conservative therapy for pelvic organ prolapses is poorly effective. The only clinically proven way to combat the disease, widely used in world medical practice, is surgical treatment. However, the possibilities of surgical correction of genital prolapse are limited by the high frequency of relapses, which occur in 36 % of operated women, as well as complications when using mesh prostheses (17–31 %). Therefore, exploring nonsurgical treatments aimed at preventing disease progression is a critical challenge for clinicians.The aim was to study the effect of osteopathic correction, used in the complex treatment of pelvic organ prolapse, on the course of this disease.Materials and methods. The study included 36 women aged 25 to 45 years with the first stage of genital prolapse. All patients underwent standardized osteopathic diagnostics with the formation of a unified osteopathic conclusion at the beginning and at the end of the study. The subjects of the main group, as part of complextreatment, received osteopathic correction in the number of 3 sessions with an interval of 2–3 weeks; patients in the control group who performed physical therapy exercises (PT) were dynamically monitored.Results. In patients with genital prolapse, somatic dysfunctions are most often diagnosed at the global (psychoviscerosomatic disorder) and regional levels (pelvic, lumbar and thoracic regions), which are dominant. The inclusion of osteopathic correction in the complex treatment of genital prolapse in women is significantly more significant than the isolated performance of physical therapy exercises and helps to reduce the frequency of detection of somatic dysfunctions at the global and regional level (p>0,05), and is also significantly more significant (p>0,05) promotes: reducing the severity of genital prolapse, reducing the severity of urogenital symptoms, improving the quality of life of patients.Conclusion. As part of the complex treatment of patients with genital prolapse, osteopathic correction in combination with physical therapy exercises helps to reduce the degree of pelvic organ prolapse, reduce the severity of urogenital symptoms and improve the quality of life of women.