The main clinical symptoms in patients with posterior vaginal wall prolapse and modern non-drug technologies for its relief

Abstract

Background. Rectocele is one of the leading causes of abnormal position and dysfunction of the pelvic floor and rectum.

Objective: to develop and scientifically substantiate the use of a rehabilitation complex, including general magnetotherapy, electromyostimulation with biofeedback in combination with fractional microablative CO₂ laser therapy in patients of different age groups with rectocele after surgery.

Methods. The article presents the results of treatment of 100 women with rectocele, who were divided into main and control groups, within each group, depending on their age, they were divided into 2 subgroups: women of childbearing age were included in subgroup A, and women of peri- and menopausal age were included in subgroup B. Patients of the main group in the early postoperative period after plastic surgery for rectocele (from 1 day) were given a course of General magnetotherapy and in the late postoperative period (one month after the operation) a set of measures was performed, consisting of a course of electromyostimulation with biological connection of the pelvic floor muscles 2 intravaginal procedures of fractional microablative CO₂ laser therapy at intervals of 4–5 weeks. Patients of the control group after surgical treatment of rectocele in the late postoperative period received symptomatic therapy, including painkillers and spasmolytics and a set of Kegel exercises.

Results. Significant improvements in postoperative treatment were observed in patients of the main group: pelvic pain and periodic pain in the lower abdomen and lower back disappeared in 100% of cases; the main complaints related to violation of rectal emptying and urination were preserved in no more than 5–7% of cases, sexual complaints — in 5%; in 95% of cases, general, vegetative and pre-climacteric complaints disappeared.

Conclusion. As a result of the conducted research, it is shown that under the influence of the developed rehabilitation complex, regardless of age, there was a highly reliable dynamics of all complaints due to the influence of physical factors included in it on various pathogenetic links in the development of the disease.

Keywords

pelvic organ prolapse / rectocele / childbearing / peri- and menopausal age / surgery / non-drug technologies / General magnetotherapy / electromyostimulation / biofeedback / fractional microablative CO2 laser therapy / clinical symptoms

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